Idaho
Division of Occupational and Professional Licenses
MR. MILES C DOUGLAS
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1554
Date granted
01/26/2016
Date expires
10/22/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
CRESTVIEW FL 32536
idaholicensing.com
ID 43729550
LAST UPDATED 2024-03-30 10:42:57 UTC
LAST UPDATED 2024-03-30 10:42:57 UTC
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