Idaho
Division of Occupational and Professional Licenses
MARY WATSON WHITENACK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1478
Date granted
10/05/1999
Date expires
02/14/2013
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
BOISE ID 83709
idaholicensing.com
ID 43733576
LAST UPDATED 2024-02-04 09:18:23 UTC
LAST UPDATED 2024-02-04 09:18:23 UTC
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