Idaho
Division of Occupational and Professional Licenses
CHAD IVES LEPAK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 803
Date granted
12/23/1993
Date expires
04/12/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83706
idaholicensing.com
ID 43732055
LAST UPDATED 2024-02-25 12:21:11 UTC
LAST UPDATED 2024-02-25 12:21:11 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.