Idaho
Division of Occupational and Professional Licenses
JOHNATHAN KINGSLEY
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3555
Date granted
06/03/2014
Date expires
12/07/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SURPRISE AZ 85379
idaholicensing.com
ID 43731885
LAST UPDATED 2024-03-31 03:55:32 UTC
LAST UPDATED 2024-03-31 03:55:32 UTC
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