Iowa
Professional Licensing Bureau
Daniel Fog
Physical And Occupational Therapy - Physical Therapist
License number
074065
Date granted
06/17/2014
Date expires
06/15/2016
Class
Physical And Occupational Therapy - Physical Therapist
Status
Active
Address
2010 SWEET CIDER RD FORT WAYNE IN 46818
iowalicenses.org
ID 24170735
LAST UPDATED 2026-05-19 23:41:10 UTC
LAST UPDATED 2026-05-19 23:41:10 UTC
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