Idaho
Division of Occupational and Professional Licenses
MICHAEL ANDREW JAENNETTE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 421
Date granted
11/23/2005
Date expires
02/08/2015
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
BULLHEAD CITY AZ 86442
idaholicensing.com
ID 43734234
LAST UPDATED 2026-04-14 17:26:15 UTC
LAST UPDATED 2026-04-14 17:26:15 UTC
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