Idaho
Division of Occupational and Professional Licenses
BENJAMIN MICHAEL WARDELL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4750
Date granted
07/27/2016
Date expires
10/17/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POST FALLS ID 83854
idaholicensing.com
ID 43733509
LAST UPDATED 2024-04-09 06:14:27 UTC
LAST UPDATED 2024-04-09 06:14:27 UTC
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