Idaho
Division of Occupational and Professional Licenses
MR. CHARLES VINCENT CHAVEZ
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4147
Date granted
07/15/2015
Date expires
10/22/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
CALDWELL ID 83607
idaholicensing.com
ID 43733891
LAST UPDATED 2026-07-22 18:17:56 UTC
LAST UPDATED 2026-07-22 18:17:56 UTC
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