Indiana
Professional Licensing Agency
Robert Lavern Green, Jr
Physical Therapy Committee - Physical Therapist Assistant
License number
06001036A
Date granted
08/03/1990
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8362877
LAST UPDATED 2024-03-19 08:00:18 UTC
LAST UPDATED 2024-03-19 08:00:18 UTC
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