Idaho
Division of Occupational and Professional Licenses
ANGELA MAY LICCIARDI
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3565
Date granted
03/05/2014
Date expires
11/17/2015
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
MINNEAPOLIS MN 55408
idaholicensing.com
ID 43734358
LAST UPDATED 2026-05-01 08:08:33 UTC
LAST UPDATED 2026-05-01 08:08:33 UTC
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