License holder summary

MR. JUSTIN RICHARD BRUNNER is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MR. JUSTIN RICHARD BRUNNER is POCATELLO ID 83201. This licensed professional license is current. The license was granted 05/09/2016 and expired on 04/02/2018.

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

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