Nicholas Dale Potgiesser

Temporary Physical Therapist Aassistant Permit

Indiana  99015234A   Superceded

This Indiana license was held by Nicholas Dale Potgiesser. The license is no longer active. It was granted on 12/21/2004 and expired on 03/21/2005

LICENSE DETAILS

  • License Number: 99015234A
  • Category: Temporary PTA Permit
  • Status: Superceded
  • Date Granted: 12/21/2004 (over 20 years ago)
  • Expiry Date: 03/21/2005 (over 20 years ago)

LOCATIONS

A Address

South Bend IN 46628