Indiana
Professional Licensing Agency
Nicole M. Ivanov
Temporary Physical Therapist Permit
License number
99051811A
Date granted
05/16/2012
Date expires
08/14/2012
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Indianapolis IN 46239
indianalicensing.org
ID 8381087
LAST UPDATED 2024-03-20 04:54:13 UTC
LAST UPDATED 2024-03-20 04:54:13 UTC
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