Michigan
Department of Licensing and Regulation
EVANS RUSSELL LOCK
Physical Therapy - Physical Therapist Assistant
License number
5502000102
Date granted
05/02/2011
Date expires
07/31/2018
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 25975537
LAST UPDATED 2024-04-10 15:27:14 UTC
LAST UPDATED 2024-04-10 15:27:14 UTC
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