Indiana
Professional Licensing Agency
Penny Jo Clark
Physical Therapist
License number
05008530A
Date granted
12/23/2004
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Bedford IN 47421
indianalicensing.org
ID 8368171
LAST UPDATED 2024-03-16 04:45:21 UTC
LAST UPDATED 2024-03-16 04:45:21 UTC
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