Idaho
Division of Occupational and Professional Licenses
LISA MORTENSEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3399
Date granted
01/31/2014
Date expires
11/05/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 43732406
LAST UPDATED 2026-05-01 22:30:00 UTC
LAST UPDATED 2026-05-01 22:30:00 UTC
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