Idaho
Division of Occupational and Professional Licenses
STACY DENISE REGAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1972
Date granted
05/24/2005
Date expires
03/19/2015
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
FRANKTOWN CO 80116
idaholicensing.com
ID 43732777
LAST UPDATED 2024-02-16 23:47:05 UTC
LAST UPDATED 2024-02-16 23:47:05 UTC
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