License holder summary

RICHARD KEITH BAUCOM II is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for RICHARD KEITH BAUCOM II is BOISE ID 83704. This licensed professional license is current. The license was granted 04/13/2016 and expired on 06/23/2017.

Idaho

Division of Occupational and Professional Licenses

RICHARD KEITH BAUCOM II
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3753
Date granted
04/13/2016
Date expires
06/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83704
idaholicensing.com
ID 43733791
LAST UPDATED 2024-02-23 23:44:39 UTC

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