Idaho
Division of Occupational and Professional Licenses
JEFFREY BRUCE PETERSEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2720
Date granted
09/22/2010
Date expires
04/13/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MOYIE SPRINGS ID 83845
idaholicensing.com
ID 43732672
LAST UPDATED 2024-04-16 14:20:33 UTC
LAST UPDATED 2024-04-16 14:20:33 UTC
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