Idaho
Division of Occupational and Professional Licenses
CARRIE SUE JACOBSEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 094
Date granted
04/16/1996
Date expires
08/29/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
PRESCOTT AZ 86303
idaholicensing.com
ID 43734231
LAST UPDATED 2024-02-11 06:45:28 UTC
LAST UPDATED 2024-02-11 06:45:28 UTC
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