Idaho
Division of Occupational and Professional Licenses
MS. MARESA EVELYN BLACK
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 1405
Date granted
03/31/2015
Date expires
08/02/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
SANDPOINT ID 83864
idaholicensing.com
ID 43728316
LAST UPDATED 2024-04-29 18:21:07 UTC
LAST UPDATED 2024-04-29 18:21:07 UTC
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