Pennsylvania
Department of State
LISA MARIE VIDAKOVIC
Temporary Physical Therapist
License number
TPT019972
Date granted
01/10/2005
Date expires
07/10/2005
Class
Temporary Physical Therapist
Status
Voided
Address
Erie PA 16506
palicensing.org
ID 17331887
LAST UPDATED 2024-02-24 18:34:56 UTC
LAST UPDATED 2024-02-24 18:34:56 UTC
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