Idaho
Division of Occupational and Professional Licenses
MICHELLE MARIE STOVALL
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1077
Date granted
08/12/1996
Date expires
09/07/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 43733221
LAST UPDATED 2024-04-15 22:18:47 UTC
LAST UPDATED 2024-04-15 22:18:47 UTC
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