Nathan WIlliam Bloomfield
Temporary Physical Therapist Aassistant Permit
Indiana 99062439A Superceded
This Indiana license was held by Nathan WIlliam Bloomfield. The license is no longer active. It was granted on 06/10/2014 and expired on 09/08/2014
LICENSE DETAILS
- License Number: 99062439A
- Category: Temporary PTA Permit
- Status: Superceded
- Date Granted: 06/10/2014 (almost 11 years ago)
- Expiry Date: 09/08/2014 (over 10 years ago)
LOCATIONS
A Address
Fort Wayne IN 46805