License holder summary

JERRY WILLIAM BLAKELY is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for JERRY WILLIAM BLAKELY is Coeur dAlene ID 83814. This licensed professional license is current. The license was granted 04/07/1997 and expired on 12/20/2016.

Idaho

Division of Occupational and Professional Licenses

JERRY WILLIAM BLAKELY
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1184
Date granted
04/07/1997
Date expires
12/20/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Coeur dAlene ID 83814
idaholicensing.com
ID 43730533
LAST UPDATED 2024-02-03 14:42:20 UTC

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