Indiana
Professional Licensing Agency
Stacie Lynn Borrousch
Physical Therapist
License number
05008473A
Date granted
09/20/2004
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Avon IN 46123
indianalicensing.org
ID 8368085
LAST UPDATED 2024-05-14 14:35:50 UTC
LAST UPDATED 2024-05-14 14:35:50 UTC
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