License holder summary

LISA MARIE FERNANDEZ is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for LISA MARIE FERNANDEZ is Boise ID 83709. This licensed professional license is current. The license was granted 09/22/1989 and expired on 12/12/2016.

Idaho

Division of Occupational and Professional Licenses

LISA MARIE FERNANDEZ
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 514
Date granted
09/22/1989
Date expires
12/12/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Boise ID 83709
idaholicensing.com
ID 43731180
LAST UPDATED 2024-04-18 13:20:33 UTC

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