Idaho
Division of Occupational and Professional Licenses
RANDY C. SIDWELL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1535
Date granted
06/08/2000
Date expires
05/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43733077
LAST UPDATED 2024-04-28 21:48:19 UTC
LAST UPDATED 2024-04-28 21:48:19 UTC
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