Idaho
Division of Occupational and Professional Licenses
MRS. ALYSSA ANNE GORHAM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4111
Date granted
07/16/2015
Date expires
05/31/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
PULLMAN WA 99163
idaholicensing.com
ID 43734090
LAST UPDATED 2024-05-08 02:52:24 UTC
LAST UPDATED 2024-05-08 02:52:24 UTC
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