Idaho
Division of Occupational and Professional Licenses
KENNETH WAYNE SMITH
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1091
Date granted
09/19/2011
Date expires
07/13/2013
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Not Current
Address
BOISE ID 83709
idaholicensing.com
ID 43729822
LAST UPDATED 2024-02-07 03:35:04 UTC
LAST UPDATED 2024-02-07 03:35:04 UTC
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