Pennsylvania
Department of State
BRENT THOMAS FORD
Physical Therapist Assistant
License number
TE002587L
Date granted
08/29/1997
Date expires
12/31/2010
Class
Physical Therapist Assistant
Status
Voided
Address
East Springfield PA 16411
palicensing.org
ID 17301416
LAST UPDATED 2024-02-24 10:54:32 UTC
LAST UPDATED 2024-02-24 10:54:32 UTC
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