Idaho
Division of Occupational and Professional Licenses
JENNIFER LOUISE FULLMER
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4021
Date granted
05/01/2015
Date expires
07/21/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
MAPLETON UT 84664
idaholicensing.com
ID 43734061
LAST UPDATED 2024-03-11 19:06:38 UTC
LAST UPDATED 2024-03-11 19:06:38 UTC
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