Idaho
Division of Occupational and Professional Licenses
MARK DAMIAN JOSEPH HEINLEIN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1615
Date granted
04/26/2001
Date expires
01/29/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Moscow ID 83843
idaholicensing.com
ID 43731517
LAST UPDATED 2024-03-26 14:07:55 UTC
LAST UPDATED 2024-03-26 14:07:55 UTC
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