License holder summary

Judith Mary Stayback is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for Judith Mary Stayback is Rolling Prairie IN 46371. This licensed professional license is current. The license was granted 09/14/1993 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Judith Mary Stayback
Physical Therapy Committee - Physical Therapist Assistant
License number
06001397A
Date granted
09/14/1993
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Rolling Prairie IN 46371
indianalicensing.org
ID 8366284
LAST UPDATED 2024-03-27 07:31:25 UTC

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