Idaho
Division of Occupational and Professional Licenses
MS. JACKLYN BOSS
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4102
Date granted
08/13/2015
Date expires
08/20/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
KILLEEN TX 76542
idaholicensing.com
ID 43730559
LAST UPDATED 2026-03-12 22:30:39 UTC
LAST UPDATED 2026-03-12 22:30:39 UTC
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