License holder summary

MRS. TARA LYNN LAKE is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for MRS. TARA LYNN LAKE is PORT ORCHARD WA 98366. This licensed professional license is current. The license was granted 10/26/2015 and expired on 07/21/2017.

Idaho

Division of Occupational and Professional Licenses

MRS. TARA LYNN LAKE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4337
Date granted
10/26/2015
Date expires
07/21/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
PORT ORCHARD WA 98366
idaholicensing.com
ID 43734331
LAST UPDATED 2024-02-29 22:56:28 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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