License holder summary

JACOB DOUGLAS PENROSE is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for JACOB DOUGLAS PENROSE is Ammon ID 83406. This licensed professional license is not current. The license was granted 05/30/2006 and expired on 05/08/2012.

Idaho

Division of Occupational and Professional Licenses

JACOB DOUGLAS PENROSE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2074
Date granted
05/30/2006
Date expires
05/08/2012
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
Ammon ID 83406
idaholicensing.com
ID 43732661
LAST UPDATED 2026-04-07 02:30:41 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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