Pennsylvania
Department of State
EDWARD V IVANCHENKO
Physical Therapist Assistant
License number
TE009194
Date granted
10/31/2011
Date expires
12/31/2016
Class
Physical Therapist Assistant
Status
Active
Address
Harrisburg PA 17111
palicensing.org
ID 17323318
LAST UPDATED 2024-04-12 10:41:32 UTC
LAST UPDATED 2024-04-12 10:41:32 UTC
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