License holder summary

KEVIN DOUGLAS ROUSSEAU is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for KEVIN DOUGLAS ROUSSEAU is BOISE ID 83704. This licensed professional license is current. The license was granted 04/12/1995 and expired on 06/21/2017.

Idaho

Division of Occupational and Professional Licenses

KEVIN DOUGLAS ROUSSEAU
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 058
Date granted
04/12/1995
Date expires
06/21/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83704
idaholicensing.com
ID 43734594
LAST UPDATED 2024-04-08 17:09:52 UTC

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