Idaho
Division of Occupational and Professional Licenses
MR. PATRICK PENNEKAMP
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1469
Date granted
06/08/2015
Date expires
10/10/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
BOISE ID 83712
idaholicensing.com
ID 43729012
LAST UPDATED 2026-05-12 00:17:51 UTC
LAST UPDATED 2026-05-12 00:17:51 UTC
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