Idaho
Division of Occupational and Professional Licenses
HENRY GERARD JAQUEZ
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 314
Date granted
04/28/1995
Date expires
02/03/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
LEWISTON ID 83501
idaholicensing.com
ID 43728731
LAST UPDATED 2024-03-16 05:32:47 UTC
LAST UPDATED 2024-03-16 05:32:47 UTC
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