Idaho
Division of Occupational and Professional Licenses
SURIYA SUBASHINI KUNNUKUTTY MOHAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3231
Date granted
03/06/2013
Date expires
04/23/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
CLARKSTON WA 99403
idaholicensing.com
ID 43732375
LAST UPDATED 2026-05-31 21:03:22 UTC
LAST UPDATED 2026-05-31 21:03:22 UTC
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