Indiana
Professional Licensing Agency
Stacy L. Griswold
Physical Therapy Committee - Physical Therapist Assistant
License number
06004465A
Date granted
07/24/2012
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Fairbanks IN 47849
indianalicensing.org
ID 8362600
LAST UPDATED 2024-02-15 23:56:21 UTC
LAST UPDATED 2024-02-15 23:56:21 UTC
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