License holder summary

STACEY LYNN SCANLAN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for STACEY LYNN SCANLAN is BOISE ID 83702. This licensed professional license is current. The license was granted 08/31/1998 and expired on 01/21/2017.

Idaho

Division of Occupational and Professional Licenses

STACEY LYNN SCANLAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1355
Date granted
08/31/1998
Date expires
01/21/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83702
idaholicensing.com
ID 43732941
LAST UPDATED 2024-03-13 23:58:17 UTC

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