License holder summary

PATRICIA ANN PROVINE is a State Occupational Therapy Licensure Board - Occupational Therapist licensed to practice in Idaho. The address on file for PATRICIA ANN PROVINE is COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 09/23/2004 and expired on 09/12/2016.

Idaho

Division of Occupational and Professional Licenses

PATRICIA ANN PROVINE
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 712
Date granted
09/23/2004
Date expires
09/12/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
COEUR D ALENE ID 83814
idaholicensing.com
ID 43729044
LAST UPDATED 2024-03-04 17:51:33 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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