Idaho
Division of Occupational and Professional Licenses
H MICHAEL RUSSELL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1338
Date granted
07/27/1998
Date expires
02/11/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
HARRISON ID 83833
idaholicensing.com
ID 43732890
LAST UPDATED 2024-05-08 00:47:41 UTC
LAST UPDATED 2024-05-08 00:47:41 UTC
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