Pennsylvania
Department of State
BRETT ALAN MICKINAC
Physical Therapist Assistant
License number
TE009670
Date granted
02/15/2013
Date expires
12/31/2014
Class
Physical Therapist Assistant
Status
Voided
Address
Derry PA 15627
palicensing.org
ID 17323612
LAST UPDATED 2024-03-12 13:43:37 UTC
LAST UPDATED 2024-03-12 13:43:37 UTC
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