Indiana
Professional Licensing Agency
Lisa Marie Prusakiewicz
Physical Therapist
License number
05009267A
Date granted
06/12/2007
Date expires
06/30/2014
Class
Physical Therapist
Status
Expired
Address
Elkhart IN 46514
indianalicensing.org
ID 8370386
LAST UPDATED 2024-02-06 20:36:32 UTC
LAST UPDATED 2024-02-06 20:36:32 UTC
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