Idaho
Division of Occupational and Professional Licenses
SUSAN ANN WALLACE
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 078
Date granted
10/21/1996
Date expires
11/08/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43729867
LAST UPDATED 2026-04-07 09:09:50 UTC
LAST UPDATED 2026-04-07 09:09:50 UTC
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