Indiana
Professional Licensing Agency
WANDA M BULLOCK
Physical Therapy Committee - Physical Therapist Assistant
License number
06000569A
Date granted
07/22/1985
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
MONTGOMERY IN 47558
indianalicensing.org
ID 8365110
LAST UPDATED 2024-02-25 02:37:12 UTC
LAST UPDATED 2024-02-25 02:37:12 UTC
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