Idaho
Division of Occupational and Professional Licenses
CARLENE NICOLE SMITH
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3190
Date granted
05/22/2013
Date expires
06/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83406
idaholicensing.com
ID 43734642
LAST UPDATED 2026-06-12 18:51:49 UTC
LAST UPDATED 2026-06-12 18:51:49 UTC
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