Idaho
Division of Occupational and Professional Licenses
CLINTON R AXMAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2915
Date granted
09/14/2011
Date expires
11/12/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
JEROME ID 83338
idaholicensing.com
ID 43730345
LAST UPDATED 2024-02-13 05:10:20 UTC
LAST UPDATED 2024-02-13 05:10:20 UTC
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