License holder summary

GINA MARIE SMITH CROCKFORD is a State Occupational Therapy Licensure Board - Occupational Therapy Assistant licensed to practice in Idaho. The address on file for GINA MARIE SMITH CROCKFORD is BOISE ID 83705. This licensed professional license is current. The license was granted 07/05/1988 and expired on 12/30/2016.

Idaho

Division of Occupational and Professional Licenses

GINA MARIE SMITH CROCKFORD
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 006
Date granted
07/05/1988
Date expires
12/30/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
BOISE ID 83705
idaholicensing.com
ID 43729526
LAST UPDATED 2024-03-26 03:03:42 UTC

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