KELLY LEE BUSHORE
Direct Access Authorization - Physical Therapy
Pennsylvania DAPT000019 Inactive
This Pennsylvania license was held by KELLY LEE BUSHORE. The license is no longer active. It was granted on 10/06/2004 and expired on 12/31/2012
LICENSE DETAILS
- License Number: DAPT000019
- Category: Direct Access Authorization - PT
- Status: Inactive
- Date Granted: 10/06/2004 (over 20 years ago)
- Expiry Date: 12/31/2012 (over 12 years ago)
LOCATIONS
A Address
Duncansville PA 16635