Pennsylvania
Department of State
DOREEN MICHELLE WISE
Physical Therapist Assistant
License number
TE008290
Date granted
02/06/2009
Date expires
12/31/2010
Class
Physical Therapist Assistant
Status
Voided
Address
Bronx NY 10456
palicensing.org
ID 17322127
LAST UPDATED 2024-03-11 09:35:15 UTC
LAST UPDATED 2024-03-11 09:35:15 UTC
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