Indiana
Professional Licensing Agency
Justin Robert Grogg
Physical Therapy Committee - Physical Therapist Assistant
License number
06003100A
Date granted
08/12/2003
Date expires
06/30/2014
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8362829
LAST UPDATED 2024-02-28 09:06:00 UTC
LAST UPDATED 2024-02-28 09:06:00 UTC
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