Indiana
Professional Licensing Agency
Shannon Lee Lewis-Black
Physical Therapy Committee - Physical Therapist Assistant
License number
06001812A
Date granted
08/23/1996
Date expires
06/30/2000
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
Hillsboro IN 47949
indianalicensing.org
ID 8363433
LAST UPDATED 2024-04-20 23:47:42 UTC
LAST UPDATED 2024-04-20 23:47:42 UTC
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