License holder summary

STACY DENISE REGAN is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for STACY DENISE REGAN is FRANKTOWN CO 80116. This licensed professional license is not current. The license was granted 05/24/2005 and expired on 03/19/2015.

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

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