Idaho
Division of Occupational and Professional Licenses
LISA N AGARD
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3153
Date granted
12/27/2012
Date expires
01/14/2015
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
MOUNT VERNON WA 98274
idaholicensing.com
ID 43733740
LAST UPDATED 2024-03-13 05:32:10 UTC
LAST UPDATED 2024-03-13 05:32:10 UTC
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