Idaho
Division of Occupational and Professional Licenses
FORREST DEAN HAMMEREN II
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4781
Date granted
07/26/2016
Date expires
05/07/2018
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
SPRINGVILLE UT 84663
idaholicensing.com
ID 43734130
LAST UPDATED 2026-03-08 15:09:43 UTC
LAST UPDATED 2026-03-08 15:09:43 UTC
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