Idaho
Division of Occupational and Professional Licenses
JACLYNNE WILSON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3922
Date granted
05/22/2015
Date expires
11/10/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734812
LAST UPDATED 2026-04-17 11:14:43 UTC
LAST UPDATED 2026-04-17 11:14:43 UTC
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