Idaho
Division of Occupational and Professional Licenses
MR. COLTON SHEA CARBOL
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4574
Date granted
05/25/2016
Date expires
04/01/2018
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83202
idaholicensing.com
ID 43733869
LAST UPDATED 2024-05-01 11:25:30 UTC
LAST UPDATED 2024-05-01 11:25:30 UTC
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