License holder summary

MR. STEPHEN DOUGLAS BOUMA TILSTRA is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MR. STEPHEN DOUGLAS BOUMA TILSTRA is COLLEGEDALE TN 37315. This licensed professional license is current. The license was granted 03/23/2015 and expired on 11/27/2016.

Idaho

Division of Occupational and Professional Licenses

MR. STEPHEN DOUGLAS BOUMA TILSTRA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4073
Date granted
03/23/2015
Date expires
11/27/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
COLLEGEDALE TN 37315
idaholicensing.com
ID 43733364
LAST UPDATED 2024-02-26 05:36:07 UTC

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