Idaho
Division of Occupational and Professional Licenses
COREEN WISTISEN KELLER
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1441
Date granted
06/21/1999
Date expires
03/25/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43731853
LAST UPDATED 2024-04-29 06:17:51 UTC
LAST UPDATED 2024-04-29 06:17:51 UTC
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