Idaho
Division of Occupational and Professional Licenses
LAUREN ANNA BACON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3174
Date granted
05/20/2013
Date expires
09/11/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
WALNUT CREEK CA 94598
idaholicensing.com
ID 43730354
LAST UPDATED 2024-03-26 09:55:45 UTC
LAST UPDATED 2024-03-26 09:55:45 UTC
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