Idaho
Division of Occupational and Professional Licenses
JASON JOSEPH LAROSE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3079
Date granted
07/24/2012
Date expires
05/02/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
KUNA ID 83634
idaholicensing.com
ID 43734341
LAST UPDATED 2024-05-04 20:33:45 UTC
LAST UPDATED 2024-05-04 20:33:45 UTC
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