License holder summary

JACKIE BOONSONG HENRY is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for JACKIE BOONSONG HENRY is RATHDRUM ID 83858. This licensed professional license is not current. The license was granted 08/20/2008 and expired on 08/09/2013.

Idaho

Division of Occupational and Professional Licenses

JACKIE BOONSONG HENRY
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2427
Date granted
08/20/2008
Date expires
08/09/2013
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
RATHDRUM ID 83858
idaholicensing.com
ID 43734178
LAST UPDATED 2024-04-30 16:06:19 UTC

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