Idaho
Division of Occupational and Professional Licenses
CLIFFORD LACELL KIRACOFE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1579
Date granted
11/30/2000
Date expires
05/29/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
HAYDEN ID 83835
idaholicensing.com
ID 43731894
LAST UPDATED 2024-04-01 14:41:35 UTC
LAST UPDATED 2024-04-01 14:41:35 UTC
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