Idaho
Division of Occupational and Professional Licenses
KATHRYN A. WIERENGA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 367
Date granted
11/18/1985
Date expires
04/24/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83713
idaholicensing.com
ID 43733587
LAST UPDATED 2024-04-23 20:26:21 UTC
LAST UPDATED 2024-04-23 20:26:21 UTC
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