Idaho
Division of Occupational and Professional Licenses
CHAD ALAN CLARK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3181
Date granted
05/24/2013
Date expires
09/05/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43730799
LAST UPDATED 2024-03-16 23:12:04 UTC
LAST UPDATED 2024-03-16 23:12:04 UTC
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