License holder summary

DANIEL BASHAM is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for DANIEL BASHAM is AUSTIN TX 78754. This licensed professional license is not current. The license was granted 11/14/2012 and expired on 09/15/2014.

Idaho

Division of Occupational and Professional Licenses

DANIEL BASHAM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3109
Date granted
11/14/2012
Date expires
09/15/2014
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
AUSTIN TX 78754
idaholicensing.com
ID 43733790
LAST UPDATED 2024-03-16 16:54:21 UTC

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