Idaho
Division of Occupational and Professional Licenses
GEODEL P ISIP
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3727
Date granted
09/08/2014
Date expires
09/07/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
FORT LAUDERDALE FL 33323
idaholicensing.com
ID 43731704
LAST UPDATED 2024-05-08 04:12:41 UTC
LAST UPDATED 2024-05-08 04:12:41 UTC
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