License holder summary

KEVIN DWAYNE MOORE is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for KEVIN DWAYNE MOORE is COEUR D ALENE ID 83815. This licensed professional license is current. The license was granted 07/09/2003 and expired on 03/01/2017.

Idaho

Division of Occupational and Professional Licenses

KEVIN DWAYNE MOORE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 344
Date granted
07/09/2003
Date expires
03/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
COEUR D ALENE ID 83815
idaholicensing.com
ID 43734442
LAST UPDATED 2024-04-21 15:06:36 UTC

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