Idaho
Division of Occupational and Professional Licenses
KEITH DERRELL EVANS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 043
Date granted
12/05/1994
Date expires
02/15/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
OLYMPIA WA 98502
idaholicensing.com
ID 43734029
LAST UPDATED 2024-03-22 03:17:26 UTC
LAST UPDATED 2024-03-22 03:17:26 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.