Idaho
Division of Occupational and Professional Licenses
MR. ELLIOTT BALLENTINE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4518
Date granted
05/25/2016
Date expires
11/08/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
SAINT LOUIS MO 63108
idaholicensing.com
ID 43730383
LAST UPDATED 2024-01-28 08:50:05 UTC
LAST UPDATED 2024-01-28 08:50:05 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.