Idaho
Division of Occupational and Professional Licenses
NANCY LYNN MACK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2822
Date granted
06/10/2011
Date expires
01/24/2014
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
MEAD WA 99021
idaholicensing.com
ID 43732132
LAST UPDATED 2024-04-16 23:38:52 UTC
LAST UPDATED 2024-04-16 23:38:52 UTC
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