Idaho
Division of Occupational and Professional Licenses
JENNY A BENITEZ-ALONSO
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 405
Date granted
06/17/2005
Date expires
10/30/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BLACKFOOT ID 83221
idaholicensing.com
ID 43733802
LAST UPDATED 2024-04-16 07:45:56 UTC
LAST UPDATED 2024-04-16 07:45:56 UTC
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