License holder summary

BRADFORD J BROUILLETTE is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for BRADFORD J BROUILLETTE is MEAD WA 99021. This licensed professional license is current. The license was granted 05/18/2010 and expired on 05/06/2017.

Idaho

Division of Occupational and Professional Licenses

BRADFORD J BROUILLETTE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2690
Date granted
05/18/2010
Date expires
05/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MEAD WA 99021
idaholicensing.com
ID 43730615
LAST UPDATED 2024-01-31 16:59:44 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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