Idaho
Division of Occupational and Professional Licenses
DANSON STARK HALL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3301
Date granted
06/13/2013
Date expires
11/04/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BLACKFOOT ID 83221
idaholicensing.com
ID 43733171
LAST UPDATED 2024-02-28 05:36:12 UTC
LAST UPDATED 2024-02-28 05:36:12 UTC
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