License holder summary

SHIRLEY L. RANDOLPH is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for SHIRLEY L. RANDOLPH is BOISE ID 83704. This licensed professional license is not current. The license was granted 10/17/1983 and expired on 04/02/2012.

Idaho

Division of Occupational and Professional Licenses

SHIRLEY L. RANDOLPH
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 302
Date granted
10/17/1983
Date expires
04/02/2012
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
BOISE ID 83704
idaholicensing.com
ID 43732751
LAST UPDATED 2024-04-12 16:02:58 UTC

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