Idaho
Division of Occupational and Professional Licenses
ANDREW BLAKE GOODE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2964
Date granted
07/10/2012
Date expires
10/25/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43731341
LAST UPDATED 2024-04-06 20:46:53 UTC
LAST UPDATED 2024-04-06 20:46:53 UTC
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