Idaho
Division of Occupational and Professional Licenses
MRS. DAELENE SUEANN TIBBITTS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4637
Date granted
07/14/2016
Date expires
12/14/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
MOUNTAIN HOME ID 83647
idaholicensing.com
ID 43734741
LAST UPDATED 2024-02-16 15:41:08 UTC
LAST UPDATED 2024-02-16 15:41:08 UTC
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