Idaho
Division of Occupational and Professional Licenses
ELLYSE KAITLYN BRUURSEMA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3806
Date granted
05/21/2015
Date expires
08/12/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
REED POINT MT 59069
idaholicensing.com
ID 43730647
LAST UPDATED 2024-03-25 03:31:30 UTC
LAST UPDATED 2024-03-25 03:31:30 UTC
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