Pennsylvania
Department of State
JANA LEA STACKHOUSE
Physical Therapist Assistant
License number
TE003010L
Date granted
08/10/1998
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Voided
Address
BLOOMSBURG PA 17815
palicensing.org
ID 17302676
LAST UPDATED 2024-03-12 12:24:36 UTC
LAST UPDATED 2024-03-12 12:24:36 UTC
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