Idaho
Division of Occupational and Professional Licenses
JOHN ANDREW STAVAST
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4630
Date granted
05/09/2016
Date expires
11/30/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
IDAHO FALLS ID 83402
idaholicensing.com
ID 43733173
LAST UPDATED 2024-03-11 08:51:17 UTC
LAST UPDATED 2024-03-11 08:51:17 UTC
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