Kristen Michele Black
Temporary Physical Therapist Permit
Indiana 99019561A Superceded
This Indiana license was held by Kristen Michele Black. The license is no longer active. It was granted on 12/16/2005 and expired on 03/16/2006
LICENSE DETAILS
- License Number: 99019561A
- Category: Temporary PT Permit
- Status: Superceded
- Date Granted: 12/16/2005 (over 18 years ago)
- Expiry Date: 03/16/2006 (over 18 years ago)
LOCATIONS
A Address
Madison IN 47250