Idaho
Division of Occupational and Professional Licenses
STACIE LYNETTE WAITE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2073
Date granted
05/25/2006
Date expires
11/09/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
NAMPA ID 83686
idaholicensing.com
ID 43733479
LAST UPDATED 2024-03-25 22:55:12 UTC
LAST UPDATED 2024-03-25 22:55:12 UTC
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