License holder summary

JERRALYN RENAE WASYLYSHEN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for JERRALYN RENAE WASYLYSHEN is MOSCOW ID 83843. This licensed professional license is current. The license was granted 04/16/2003 and expired on 10/24/2016.

Idaho

Division of Occupational and Professional Licenses

JERRALYN RENAE WASYLYSHEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1796
Date granted
04/16/2003
Date expires
10/24/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MOSCOW ID 83843
idaholicensing.com
ID 43733516
LAST UPDATED 2024-04-20 21:35:44 UTC

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