Idaho
Division of Occupational and Professional Licenses
KRISTEN ROBERTA RUSSELL
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 094
Date granted
11/18/1997
Date expires
09/15/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43729795
LAST UPDATED 2024-04-10 19:28:50 UTC
LAST UPDATED 2024-04-10 19:28:50 UTC
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