Idaho
Division of Occupational and Professional Licenses
MATTHEW DAVID SMITHERAM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3044
Date granted
07/24/2012
Date expires
12/26/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83204
idaholicensing.com
ID 43734651
LAST UPDATED 2024-02-19 02:39:13 UTC
LAST UPDATED 2024-02-19 02:39:13 UTC
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