Idaho
Division of Occupational and Professional Licenses
KIRSTEN MARIE EVENSEN
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 500
Date granted
07/17/1998
Date expires
09/29/2014
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Not Current
Address
MEDFORD OR 97504
idaholicensing.com
ID 43728533
LAST UPDATED 2024-04-29 23:15:54 UTC
LAST UPDATED 2024-04-29 23:15:54 UTC
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