Idaho
Division of Occupational and Professional Licenses
JOHN SLACK
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1289
Date granted
12/27/2013
Date expires
01/31/2015
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Not Current
Address
POST FALLS ID 83854
idaholicensing.com
ID 43729171
LAST UPDATED 2024-04-19 00:14:33 UTC
LAST UPDATED 2024-04-19 00:14:33 UTC
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