Indiana
Professional Licensing Agency
MARIAN DENISE SAMPLE
Temporary Physical Therapist Aassistant Permit
License number
99003506A
Date granted
07/26/2001
Date expires
07/26/2002
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Gary IN 46402
indianalicensing.org
ID 8383616
LAST UPDATED 2024-04-14 21:20:42 UTC
LAST UPDATED 2024-04-14 21:20:42 UTC
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