Austin Russell Fairbanks
ActiveMichigan license 5502003924
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5502003924
- Status
- Active
- First issued
- July 23, 2013
- Expires
- July 23, 2027
- License holder
- Austin Russell Fairbanks
- Entity type
- Individual
Classifications
- Physical Therapist Assistant Therapy & Rehabilitation