Idaho
Division of Occupational and Professional Licenses
MS. SHERICE DENE HALVORSEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4262
Date granted
10/07/2015
Date expires
11/27/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
HAMMOND OR 97121
idaholicensing.com
ID 43734129
LAST UPDATED 2024-05-01 19:06:42 UTC
LAST UPDATED 2024-05-01 19:06:42 UTC
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