Idaho
Division of Occupational and Professional Licenses
JOLENE MARIE STREET
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 285
Date granted
08/28/2001
Date expires
08/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
SHELLEY ID 83274
idaholicensing.com
ID 43734700
LAST UPDATED 2024-04-07 09:13:01 UTC
LAST UPDATED 2024-04-07 09:13:01 UTC
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