License holder summary

Robert Lavern Green, Jr is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for Robert Lavern Green, Jr is Fort Wayne IN 46825. This licensed professional license is current. The license was granted 08/03/1990 and expired on 06/30/2016.

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 2026-03-26 22:33:53 UTC

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