License holder summary

JILL MAXINE CLARK is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for JILL MAXINE CLARK is MOUNTAIN HOME ID 83647. This licensed professional license is current. The license was granted 08/20/2002 and expired on 04/01/2017.

Idaho

Division of Occupational and Professional Licenses

JILL MAXINE CLARK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 322
Date granted
08/20/2002
Date expires
04/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
MOUNTAIN HOME ID 83647
idaholicensing.com
ID 43733904
LAST UPDATED 2024-03-14 18:28:14 UTC

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