Idaho
Division of Occupational and Professional Licenses
JACOB LESLIE LAME
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 370
Date granted
06/16/2004
Date expires
06/29/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43734338
LAST UPDATED 2024-03-31 03:08:50 UTC
LAST UPDATED 2024-03-31 03:08:50 UTC
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