Indiana
Professional Licensing Agency
JOHN WILLIAM BLANK
Physical Therapist
License number
05008468A
Date granted
09/13/2004
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
West Lafayette IN 47906
indianalicensing.org
ID 8378888
LAST UPDATED 2024-03-03 22:18:48 UTC
LAST UPDATED 2024-03-03 22:18:48 UTC
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