Idaho
Division of Occupational and Professional Licenses
MR. BRIAN FRANCIS ANTHONY TACKE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3951
Date granted
06/11/2015
Date expires
07/20/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
YANKTON SD 57078
idaholicensing.com
ID 43733278
LAST UPDATED 2026-03-27 14:25:17 UTC
LAST UPDATED 2026-03-27 14:25:17 UTC
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