Idaho
Division of Occupational and Professional Licenses
JACQUELINE BURBANK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2009
Date granted
09/07/2005
Date expires
11/23/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
PRESTON ID 83263
idaholicensing.com
ID 43730665
LAST UPDATED 2024-02-26 10:42:33 UTC
LAST UPDATED 2024-02-26 10:42:33 UTC
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