Idaho
Division of Occupational and Professional Licenses
KELLI ELAINE MOULTON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2285
Date granted
01/17/2008
Date expires
02/08/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BURLEY ID 83318
idaholicensing.com
ID 43734455
LAST UPDATED 2024-02-03 17:26:03 UTC
LAST UPDATED 2024-02-03 17:26:03 UTC
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