Idaho
Division of Occupational and Professional Licenses
JONATHAN WILSON CLARK
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1632
Date granted
06/30/2016
Date expires
09/05/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
BAKER CITY OR 97814
idaholicensing.com
ID 43728401
LAST UPDATED 2024-03-11 23:13:14 UTC
LAST UPDATED 2024-03-11 23:13:14 UTC
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