Idaho
Division of Occupational and Professional Licenses
BREKELL VAUGHAN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 374
Date granted
07/15/2004
Date expires
12/01/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734769
LAST UPDATED 2024-03-18 01:14:24 UTC
LAST UPDATED 2024-03-18 01:14:24 UTC
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