License holder summary

IVA RUDOLFOVA GREEN is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for IVA RUDOLFOVA GREEN is Ravenna OH 44266. This licensed professional license is not current. The license was granted 09/06/2007 and expired on 12/31/2010.

Pennsylvania

Department of State

IVA RUDOLFOVA GREEN
Physical Therapist Assistant
License number
TE007930
Date granted
09/06/2007
Date expires
12/31/2010
Class
Physical Therapist Assistant
Status
Expired
Address
Ravenna OH 44266
palicensing.org
ID 17321554
LAST UPDATED 2024-06-01 06:22:07 UTC

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