Idaho
Division of Occupational and Professional Licenses
THOMAS BROCK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3172
Date granted
05/22/2013
Date expires
10/20/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
CHUBBUCK ID 83202
idaholicensing.com
ID 43733834
LAST UPDATED 2024-03-08 19:16:11 UTC
LAST UPDATED 2024-03-08 19:16:11 UTC
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