Idaho
Division of Occupational and Professional Licenses
SHELLEY CLARK
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2759
Date granted
09/22/2010
Date expires
07/29/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
LOLO MT 59847
idaholicensing.com
ID 43730808
LAST UPDATED 2024-04-06 19:05:59 UTC
LAST UPDATED 2024-04-06 19:05:59 UTC
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