Idaho
Division of Occupational and Professional Licenses
BRENT DAVID RANDALL
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 556
Date granted
07/24/2000
Date expires
11/01/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
KIMBERLY ID 83341
idaholicensing.com
ID 43729065
LAST UPDATED 2024-03-15 13:24:36 UTC
LAST UPDATED 2024-03-15 13:24:36 UTC
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