License holder summary

MARK WILLIAM WISENOR is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MARK WILLIAM WISENOR is NAMPA ID 83686. This licensed professional license is current. The license was granted 08/09/1999 and expired on 11/30/2016.

Idaho

Division of Occupational and Professional Licenses

MARK WILLIAM WISENOR
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1455
Date granted
08/09/1999
Date expires
11/30/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
NAMPA ID 83686
idaholicensing.com
ID 43733646
LAST UPDATED 2026-04-27 06:31:16 UTC

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