ALAN LEE WAGONER

Physical Therapy Committee - Physical Therapist Assistant

Indiana  06000013A   Expired

This Indiana license was held by ALAN LEE WAGONER. The license is no longer active. It was granted on 05/10/1972 and expired on 06/30/1978

LICENSE DETAILS

  • License Number: 06000013A
  • Category: Phys Ther Assistant
  • Status: Expired
  • Date Granted: 05/10/1972 (about 52 years ago)
  • Expiry Date: 06/30/1978 (almost 46 years ago)

LOCATIONS

A Address

INDIANAPOLIS IN 46229