Autumn Ann Gillen

Temporary Physical Therapist Aassistant Permit

Indiana  99042653A   Superceded

This Indiana license was held by Autumn Ann Gillen. The license is no longer active. It was granted on 06/04/2010 and expired on 09/02/2010

LICENSE DETAILS

  • License Number: 99042653A
  • Category: Temporary PTA Permit
  • Status: Superceded
  • Date Granted: 06/04/2010 (almost 15 years ago)
  • Expiry Date: 09/02/2010 (over 14 years ago)

LOCATIONS

A Address

Angola IN 46703