Indiana
Professional Licensing Agency
Kathy E. Wagner
Physical Therapy Committee - Physical Therapist Assistant
License number
06004167A
Date granted
10/22/2010
Date expires
06/30/2012
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
Gastonia NC 28056
indianalicensing.org
ID 8363029
LAST UPDATED 2024-03-07 02:18:50 UTC
LAST UPDATED 2024-03-07 02:18:50 UTC
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