Idaho
Division of Occupational and Professional Licenses
MS. AMANDA SOUKUP
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1473
Date granted
06/15/2015
Date expires
09/13/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
MOUNTAIN VIEW CA 94040
idaholicensing.com
ID 43729185
LAST UPDATED 2026-05-24 18:16:48 UTC
LAST UPDATED 2026-05-24 18:16:48 UTC
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