Indiana
Professional Licensing Agency
Roxanne Dawn Stacy
Physical Therapy Committee - Physical Therapist Assistant
License number
06003123A
Date granted
10/20/2003
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fountaintown IN 46130
indianalicensing.org
ID 8362907
LAST UPDATED 2024-03-12 22:19:47 UTC
LAST UPDATED 2024-03-12 22:19:47 UTC
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