Idaho
Division of Occupational and Professional Licenses
SAMANTHA LAKEY SMITH
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1897
Date granted
06/17/2004
Date expires
11/04/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
WILDER ID 83676
idaholicensing.com
ID 43733130
LAST UPDATED 2024-04-25 12:31:28 UTC
LAST UPDATED 2024-04-25 12:31:28 UTC
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