License holder summary

AUDRA MICHELLE SOUTHARD is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for AUDRA MICHELLE SOUTHARD is EAGLE ID 83616. This licensed professional license is current. The license was granted 08/09/2004 and expired on 07/01/2017.

Idaho

Division of Occupational and Professional Licenses

AUDRA MICHELLE SOUTHARD
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 378
Date granted
08/09/2004
Date expires
07/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43734662
LAST UPDATED 2024-03-25 12:39:00 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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