Idaho
Division of Occupational and Professional Licenses
JANICE LYNETTE FOUNTAIN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 882
Date granted
12/05/1994
Date expires
01/19/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83702
idaholicensing.com
ID 43731216
LAST UPDATED 2024-04-07 12:56:27 UTC
LAST UPDATED 2024-04-07 12:56:27 UTC
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