Indiana
Professional Licensing Agency
Philip Ray Russell
Occupational Therapy Assistant
License number
32000923A
Date granted
10/26/2000
Date expires
12/31/2004
Class
Occupational Therapy Assistant
Status
Expired
Address
Evansville IN 47711
indianalicensing.org
ID 8275575
LAST UPDATED 2024-03-12 13:16:59 UTC
LAST UPDATED 2024-03-12 13:16:59 UTC
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