Idaho
Division of Occupational and Professional Licenses
BENJAMIN BROOK DOUGLASS
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3563
Date granted
05/14/2014
Date expires
11/11/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83706
idaholicensing.com
ID 43731047
LAST UPDATED 2024-01-31 19:41:25 UTC
LAST UPDATED 2024-01-31 19:41:25 UTC
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