Idaho
Division of Occupational and Professional Licenses
MARK LEE MOSS
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3018
Date granted
07/10/2012
Date expires
05/12/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43732412
LAST UPDATED 2024-01-26 22:14:13 UTC
LAST UPDATED 2024-01-26 22:14:13 UTC
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