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
LAST UPDATED 2024-04-20 21:35:44 UTC
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