Indiana
Professional Licensing Agency
Russell John Phillippo
Occupational Therapy Assistant
License number
32000325A
Date granted
03/22/1994
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Indianapolis IN 46107
indianalicensing.org
ID 8276255
LAST UPDATED 2024-03-19 22:09:03 UTC
LAST UPDATED 2024-03-19 22:09:03 UTC
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