Idaho
Division of Occupational and Professional Licenses
RYAN GREEN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2811
Date granted
03/03/2011
Date expires
11/18/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MILLVILLE UT 84326
idaholicensing.com
ID 43731368
LAST UPDATED 2024-03-15 10:18:37 UTC
LAST UPDATED 2024-03-15 10:18:37 UTC
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