License holder summary

MONT B. DIDERICKSEN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MONT B. DIDERICKSEN is SMITHFIELD UT 84335. This licensed professional license is current. The license was granted 08/03/1995 and expired on 02/14/2017.

Idaho

Division of Occupational and Professional Licenses

MONT B. DIDERICKSEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 945
Date granted
08/03/1995
Date expires
02/14/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SMITHFIELD UT 84335
idaholicensing.com
ID 43731017
LAST UPDATED 2024-03-02 15:40:23 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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