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 2026-03-30 06:41:46 UTC
LAST UPDATED 2026-03-30 06:41:46 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.