Idaho
Division of Occupational and Professional Licenses
INGRID ELSA ANTONSON BURICA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 844
Date granted
08/05/1994
Date expires
06/02/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MCCALL ID 83638
idaholicensing.com
ID 43730672
LAST UPDATED 2024-03-16 12:28:03 UTC
LAST UPDATED 2024-03-16 12:28:03 UTC
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