Indiana
Professional Licensing Agency
Sean L. Madison
Temporary Physical Therapist Aassistant Permit
License number
99043140A
Date granted
07/14/2010
Date expires
10/12/2010
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
South Bend IN 46619
indianalicensing.org
ID 8385213
LAST UPDATED 2024-03-28 18:07:25 UTC
LAST UPDATED 2024-03-28 18:07:25 UTC
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