License holder summary

Mrs. NICOLE LARUE LILYA is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for Mrs. NICOLE LARUE LILYA is BLACKFOOT ID 83221. This licensed professional license is current. The license was granted 08/13/2002 and expired on 10/16/2016.

Idaho

Division of Occupational and Professional Licenses

Mrs. NICOLE LARUE LILYA
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 321
Date granted
08/13/2002
Date expires
10/16/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BLACKFOOT ID 83221
idaholicensing.com
ID 43734360
LAST UPDATED 2024-03-08 07:30:59 UTC

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