Idaho
Division of Occupational and Professional Licenses
JARED SANSOM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4725
Date granted
07/13/2016
Date expires
01/03/2018
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43734602
LAST UPDATED 2024-03-07 09:31:54 UTC
LAST UPDATED 2024-03-07 09:31:54 UTC
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