Idaho
Division of Occupational and Professional Licenses
MICHAEL JEROME PETTY
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1925
Date granted
10/19/2004
Date expires
01/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
GARDEN CITY ID 83714
idaholicensing.com
ID 43732688
LAST UPDATED 2024-04-16 16:33:26 UTC
LAST UPDATED 2024-04-16 16:33:26 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.