License holder summary

Stacy L Gaza is a Temporary Physical Therapist Aassistant Permit licensed to practice in Indiana. The address on file for Stacy L Gaza is Merrillville IN 46410. This licensed professional license is not current. The license was granted 06/06/2005 and expired on 09/04/2005.

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

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