Idaho
Division of Occupational and Professional Licenses
MR. MARK VINCENT I SORIANO MENDOZA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4036
Date granted
07/29/2015
Date expires
07/10/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43732307
LAST UPDATED 2024-02-04 18:07:45 UTC
LAST UPDATED 2024-02-04 18:07:45 UTC
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