Indiana
Professional Licensing Agency
LISA JACKSON
Physical Therapist
License number
05001470A
Date granted
03/24/1982
Date expires
06/30/1988
Class
Physical Therapist
Status
Expired
Address
WEST LAFAYETTE IN 47906
indianalicensing.org
ID 8378905
LAST UPDATED 2024-04-04 19:25:08 UTC
LAST UPDATED 2024-04-04 19:25:08 UTC
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