License holder summary

PATRICIA MARIE FAGEN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for PATRICIA MARIE FAGEN is FRUITLAND ID 83619. This licensed professional license is current. The license was granted 08/13/1996 and expired on 01/28/2017.

Idaho

Division of Occupational and Professional Licenses

PATRICIA MARIE FAGEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1068
Date granted
08/13/1996
Date expires
01/28/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
FRUITLAND ID 83619
idaholicensing.com
ID 43731153
LAST UPDATED 2024-02-15 18:08:27 UTC

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