Idaho
Division of Occupational and Professional Licenses
RAGEN LEE MOURA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2194
Date granted
03/09/2007
Date expires
02/19/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43732420
LAST UPDATED 2026-04-06 21:56:33 UTC
LAST UPDATED 2026-04-06 21:56:33 UTC
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