Idaho
Division of Occupational and Professional Licenses
HOLLAND ADRIAN NICHELSON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3271
Date granted
10/21/2014
Date expires
04/25/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
MOUNTAIN HOME ID 83647
idaholicensing.com
ID 43734475
LAST UPDATED 2024-03-28 09:04:30 UTC
LAST UPDATED 2024-03-28 09:04:30 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.