Idaho
Division of Occupational and Professional Licenses
CONNIE KAY MOCK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 384
Date granted
05/12/1986
Date expires
09/26/2013
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
BOISE ID 83704
idaholicensing.com
ID 43732366
LAST UPDATED 2024-05-12 10:03:48 UTC
LAST UPDATED 2024-05-12 10:03:48 UTC
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