Idaho
Division of Occupational and Professional Licenses
IAN CLINT O IDAYAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2201
Date granted
04/24/2008
Date expires
05/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
NAMPA ID 83686
idaholicensing.com
ID 43731695
LAST UPDATED 2026-07-16 01:11:22 UTC
LAST UPDATED 2026-07-16 01:11:22 UTC
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