Idaho
Division of Occupational and Professional Licenses
MR. DOMINIC JAMES THIELEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4458
Date granted
06/06/2016
Date expires
12/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
HARRISBURG SD 57032
idaholicensing.com
ID 43733324
LAST UPDATED 2024-02-19 08:04:41 UTC
LAST UPDATED 2024-02-19 08:04:41 UTC
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