Idaho
Division of Occupational and Professional Licenses
BRELAN LANE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3257
Date granted
08/14/2013
Date expires
03/07/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
GLENDALE AZ 85304
idaholicensing.com
ID 43731995
LAST UPDATED 2024-05-08 04:49:10 UTC
LAST UPDATED 2024-05-08 04:49:10 UTC
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