Idaho
Division of Occupational and Professional Licenses
MICHAEL JOHN LIVELY
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 204
Date granted
03/22/1999
Date expires
08/09/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POST FALLS ID 83854
idaholicensing.com
ID 43734365
LAST UPDATED 2024-03-20 04:57:30 UTC
LAST UPDATED 2024-03-20 04:57:30 UTC
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