Idaho
Division of Occupational and Professional Licenses
LANE M. BOWEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 483
Date granted
02/22/1989
Date expires
08/20/2012
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
Sandy UT 84092
idaholicensing.com
ID 43730564
LAST UPDATED 2024-04-23 05:55:47 UTC
LAST UPDATED 2024-04-23 05:55:47 UTC
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