Idaho
Division of Occupational and Professional Licenses
MARTHA T. BOLLICH
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 521
Date granted
04/13/1999
Date expires
03/29/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
GARDEN VALLEY ID 83622
idaholicensing.com
ID 43728320
LAST UPDATED 2024-02-06 05:20:59 UTC
LAST UPDATED 2024-02-06 05:20:59 UTC
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