Pennsylvania
Department of State
EBEN LAMAR DAISE
Physical Therapist Assistant
License number
TE007598
Date granted
03/08/2006
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Voided
Address
Aldan PA 19018
palicensing.org
ID 17320096
LAST UPDATED 2026-03-14 22:15:13 UTC
LAST UPDATED 2026-03-14 22:15:13 UTC
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