License holder summary

PHOUVY PHOUTHAVONG is a Temporary Physical Therapist licensed to practice in Pennsylvania. The address on file for PHOUVY PHOUTHAVONG is Pittsburgh PA 15237. This licensed professional license is not current. The license was granted 05/30/2002 and expired on 11/30/2002.

Pennsylvania

Department of State

PHOUVY PHOUTHAVONG
Temporary Physical Therapist
License number
TPT019330
Date granted
05/30/2002
Date expires
11/30/2002
Class
Temporary Physical Therapist
Status
Voided
Address
Pittsburgh PA 15237
palicensing.org
ID 17331136
LAST UPDATED 2024-03-25 04:32:27 UTC

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