Pennsylvania
Department of State
VICKI ELLEN BRUNGARD
Physical Therapist Assistant
License number
TE002918L
Date granted
08/03/1998
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Voided
Address
WILLIAMSPORT PA 17702
palicensing.org
ID 17302477
LAST UPDATED 2024-03-21 21:32:12 UTC
LAST UPDATED 2024-03-21 21:32:12 UTC
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