Idaho
Division of Occupational and Professional Licenses
DIANE LOUISE MOORE
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1179
Date granted
10/30/2012
Date expires
10/14/2014
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Not Current
Address
FROMBERG MT 59029
idaholicensing.com
ID 43729724
LAST UPDATED 2024-03-12 21:38:15 UTC
LAST UPDATED 2024-03-12 21:38:15 UTC
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