Idaho
Division of Occupational and Professional Licenses
GLENN ELBERT DODGE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1041
Date granted
04/16/1996
Date expires
11/24/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
PARMA ID 83660
idaholicensing.com
ID 43731034
LAST UPDATED 2024-03-22 20:18:46 UTC
LAST UPDATED 2024-03-22 20:18:46 UTC
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