License holder summary

JODIE RUTH HAGAN is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for JODIE RUTH HAGAN is SHERWOOD OR 97140. This licensed professional license is not current. The license was granted 09/01/1998 and expired on 05/28/2013.

Idaho

Division of Occupational and Professional Licenses

JODIE RUTH HAGAN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 165
Date granted
09/01/1998
Date expires
05/28/2013
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
SHERWOOD OR 97140
idaholicensing.com
ID 43734115
LAST UPDATED 2024-04-25 21:27:09 UTC

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