Samantha Jo Wagner
Temporary Physical Therapist Aassistant Permit
Indiana 99016750A Superceded
This Indiana license was held by Samantha Jo Wagner. The license is no longer active. It was granted on 05/17/2005 and expired on 08/15/2005
LICENSE DETAILS
- License Number: 99016750A
- Category: Temporary PTA Permit
- Status: Superceded
- Date Granted: 05/17/2005 (about 20 years ago)
- Expiry Date: 08/15/2005 (almost 20 years ago)
LOCATIONS
A Address
Newburgh IN 47630