Idaho
Division of Occupational and Professional Licenses
LOGAN REDGE BAKE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3687
Date granted
07/30/2014
Date expires
05/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
FRUITLAND ID 83619
idaholicensing.com
ID 43730363
LAST UPDATED 2024-02-27 16:18:10 UTC
LAST UPDATED 2024-02-27 16:18:10 UTC
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