License holder summary

Mrs. JENNIFER LORAINE CICCONE is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for Mrs. JENNIFER LORAINE CICCONE is POCATELLO ID 83201. This licensed professional license is current. The license was granted 06/20/2005 and expired on 04/26/2017.

Idaho

Division of Occupational and Professional Licenses

Mrs. JENNIFER LORAINE CICCONE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 406
Date granted
06/20/2005
Date expires
04/26/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43733902
LAST UPDATED 2024-03-15 22:11:37 UTC

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