Idaho
Division of Occupational and Professional Licenses
TRACEY LEE ALCORN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 190
Date granted
01/25/1999
Date expires
09/23/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
ATHOL ID 83801
idaholicensing.com
ID 43733745
LAST UPDATED 2024-03-16 16:23:25 UTC
LAST UPDATED 2024-03-16 16:23:25 UTC
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