Idaho
Division of Occupational and Professional Licenses
RICHARD EVAN PENROD
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2169
Date granted
11/24/2006
Date expires
03/22/2012
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
CLIFTON ID 83228
idaholicensing.com
ID 43732660
LAST UPDATED 2024-04-16 08:05:33 UTC
LAST UPDATED 2024-04-16 08:05:33 UTC
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