Indiana
Professional Licensing Agency
Patricia Ann Tatum
Temporary Physical Therapist Aassistant Permit
License number
99017766A
Date granted
08/01/2005
Date expires
10/30/2005
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Gary IN 46406
indianalicensing.org
ID 8383615
LAST UPDATED 2024-03-13 02:37:28 UTC
LAST UPDATED 2024-03-13 02:37:28 UTC
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