License holder summary

LARISSA WICKHAM is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for LARISSA WICKHAM is TEMESCAL VALLEY CA 92883. This licensed professional license is current. The license was granted 08/24/2009 and expired on 07/06/2017.

Idaho

Division of Occupational and Professional Licenses

LARISSA WICKHAM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2570
Date granted
08/24/2009
Date expires
07/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
TEMESCAL VALLEY CA 92883
idaholicensing.com
ID 43734801
LAST UPDATED 2026-04-08 07:16:43 UTC

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