Michigan
Department of Licensing and Regulation
AMY BENNETT WICKSTROM
Physical Therapy - Physical Therapist Assistant
License number
5502003335
Date granted
09/19/2011
Date expires
07/31/2016
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 25978022
LAST UPDATED 2024-04-27 22:14:09 UTC
LAST UPDATED 2024-04-27 22:14:09 UTC
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