Idaho
Division of Occupational and Professional Licenses
TERESA ANNE POLK
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1328
Date granted
05/05/2014
Date expires
05/26/2015
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Not Current
Address
GRANTS PASS OR 97526
idaholicensing.com
ID 43729756
LAST UPDATED 2024-03-29 19:29:14 UTC
LAST UPDATED 2024-03-29 19:29:14 UTC
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