Idaho
Division of Occupational and Professional Licenses
MS. JASMINE CHUNTAY GREEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4663
Date granted
08/16/2016
Date expires
06/19/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
ATHENS AL 35613
idaholicensing.com
ID 43731366
LAST UPDATED 2024-01-25 05:10:04 UTC
LAST UPDATED 2024-01-25 05:10:04 UTC
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