License holder summary

JANELL ADDIELYNN STEVENS-BLALOCK is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for JANELL ADDIELYNN STEVENS-BLALOCK is CALDWELL ID 83607. This licensed professional license is current. The license was granted 04/28/1993 and expired on 06/09/2017.

Idaho

Division of Occupational and Professional Licenses

JANELL ADDIELYNN STEVENS-BLALOCK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 034
Date granted
04/28/1993
Date expires
06/09/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
CALDWELL ID 83607
idaholicensing.com
ID 43734689
LAST UPDATED 2024-02-10 20:12:48 UTC

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