Indiana
Professional Licensing Agency
Lalaine Santos Gomez
Temporary Physical Therapist Permit
License number
99016580A
Date granted
05/05/2005
Date expires
08/03/2005
Class
Temporary Physical Therapist Permit
Status
Expired
Address
Lexington KY 40509
indianalicensing.org
ID 8381410
LAST UPDATED 2024-04-01 20:13:55 UTC
LAST UPDATED 2024-04-01 20:13:55 UTC
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