Idaho
Division of Occupational and Professional Licenses
LISA MICHELLE SMALLEY
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2787
Date granted
12/16/2010
Date expires
09/29/2014
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 43733100
LAST UPDATED 2024-02-15 08:48:55 UTC
LAST UPDATED 2024-02-15 08:48:55 UTC
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