Indiana
Professional Licensing Agency
Kathy Joan Lane
Temporary Physical Therapist Permit
License number
99015217A
Date granted
12/20/2004
Date expires
03/20/2005
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Morristown TN 37814
indianalicensing.org
ID 8381667
LAST UPDATED 2024-05-07 16:46:02 UTC
LAST UPDATED 2024-05-07 16:46:02 UTC
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