Idaho
Division of Occupational and Professional Licenses
BRANDON LAVERL JOHNSON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3982
Date granted
05/22/2015
Date expires
12/09/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734251
LAST UPDATED 2024-04-03 07:37:06 UTC
LAST UPDATED 2024-04-03 07:37:06 UTC
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