License holder summary

Philip Ray Russell is a Occupational Therapy Assistant licensed to practice in Indiana. The address on file for Philip Ray Russell is Evansville IN 47711. This licensed professional license is not current. The license was granted 10/26/2000 and expired on 12/31/2004.

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

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