Idaho
Division of Occupational and Professional Licenses
CODY LANE CASTELLAW
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3504
Date granted
05/24/2014
Date expires
06/27/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
WEST DES MOINES IA 50266
idaholicensing.com
ID 43730735
LAST UPDATED 2024-03-09 21:03:29 UTC
LAST UPDATED 2024-03-09 21:03:29 UTC
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