Idaho
Division of Occupational and Professional Licenses
MICHAEL VICTOR NOWACK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3743
Date granted
09/30/2014
Date expires
06/29/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
COLVILLE WA 99114
idaholicensing.com
ID 43732508
LAST UPDATED 2024-02-02 10:40:16 UTC
LAST UPDATED 2024-02-02 10:40:16 UTC
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