Idaho
Division of Occupational and Professional Licenses
BRUCE JAY WALLENTINE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 593
Date granted
08/28/1991
Date expires
05/03/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
OVID ID 83254
idaholicensing.com
ID 43733491
LAST UPDATED 2024-04-25 10:48:57 UTC
LAST UPDATED 2024-04-25 10:48:57 UTC
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