Idaho
Division of Occupational and Professional Licenses
MS. JEANNE FANGMAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3002
Date granted
05/03/2012
Date expires
06/05/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
SANTA FE NM 87505
idaholicensing.com
ID 43731161
LAST UPDATED 2024-04-27 15:40:04 UTC
LAST UPDATED 2024-04-27 15:40:04 UTC
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