Idaho
Division of Occupational and Professional Licenses
JAN MICHAEL GISSLEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1880
Date granted
05/20/2004
Date expires
09/26/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83703
idaholicensing.com
ID 43731326
LAST UPDATED 2026-07-22 12:10:44 UTC
LAST UPDATED 2026-07-22 12:10:44 UTC
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