License holder summary

KIM DIANE DAHLQUIST is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for KIM DIANE DAHLQUIST is COEUR D ALENE ID 83816. This licensed professional license is current. The license was granted 11/25/1996 and expired on 12/06/2016.

Idaho

Division of Occupational and Professional Licenses

KIM DIANE DAHLQUIST
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 110
Date granted
11/25/1996
Date expires
12/06/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
COEUR D ALENE ID 83816
idaholicensing.com
ID 43733961
LAST UPDATED 2024-03-28 08:21:05 UTC

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