Idaho
Division of Occupational and Professional Licenses
MR. THAD JUSTIN WILLIS
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4472
Date granted
05/09/2016
Date expires
07/28/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
POCATELLO ID 83205
idaholicensing.com
ID 43733618
LAST UPDATED 2024-01-15 05:24:00 UTC
LAST UPDATED 2024-01-15 05:24:00 UTC
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