Idaho
Division of Occupational and Professional Licenses
ANALISA SHLAINE BUCKWALTER
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2525
Date granted
05/27/2009
Date expires
10/17/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
EDWARDS CA 93523
idaholicensing.com
ID 43730658
LAST UPDATED 2024-05-11 03:37:25 UTC
LAST UPDATED 2024-05-11 03:37:25 UTC
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