Idaho
Division of Occupational and Professional Licenses
AILEEN HITOMI LANE
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 194
Date granted
11/29/2004
Date expires
06/04/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
KUNA ID 83634
idaholicensing.com
ID 43729676
LAST UPDATED 2024-02-19 04:07:17 UTC
LAST UPDATED 2024-02-19 04:07:17 UTC
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