Idaho
Division of Occupational and Professional Licenses
MR. JUSTIN RICHARD BRUNNER
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4508
Date granted
05/09/2016
Date expires
04/02/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43730639
LAST UPDATED 2024-02-08 09:32:22 UTC
LAST UPDATED 2024-02-08 09:32:22 UTC
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