License holder summary

LOURDES R DE MOYA BLANCO is a Physical Therapist licensed to practice in Indiana. The address on file for LOURDES R DE MOYA BLANCO is ELKHART IN 46516. This licensed professional license is not current. The license was granted 09/21/1993 and expired on 06/30/1996.

Indiana

Professional Licensing Agency

LOURDES R DE MOYA BLANCO
Physical Therapist
License number
05003686A
Date granted
09/21/1993
Date expires
06/30/1996
Class
Physical Therapist
Status
Expired
Address
ELKHART IN 46516
indianalicensing.org
ID 8370406
LAST UPDATED 2024-04-02 02:56:28 UTC

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