Idaho
Division of Occupational and Professional Licenses
CONNIE L. GANNON BOOSE
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 096
Date granted
12/22/1997
Date expires
08/19/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
LOVELAND CO 80537
idaholicensing.com
ID 43729595
LAST UPDATED 2026-03-12 12:41:22 UTC
LAST UPDATED 2026-03-12 12:41:22 UTC
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