Indiana
Professional Licensing Agency
Stacy L Gaza
Temporary Physical Therapist Aassistant Permit
License number
99017041A
Date granted
06/06/2005
Date expires
09/04/2005
Class
Temporary Physical Therapist Aassistant Permit
Status
Expired
Address
Merrillville IN 46410
indianalicensing.org
ID 8384366
LAST UPDATED 2024-04-25 11:50:11 UTC
LAST UPDATED 2024-04-25 11:50:11 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.