Idaho
Division of Occupational and Professional Licenses
TERESA LEE GOODWIN
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 182
Date granted
09/08/2003
Date expires
10/23/2016
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
POCATELLO ID 83204
idaholicensing.com
ID 43729611
LAST UPDATED 2024-03-05 02:47:51 UTC
LAST UPDATED 2024-03-05 02:47:51 UTC
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