Idaho
Division of Occupational and Professional Licenses
TEVAGENE A. BRAGG
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 187
Date granted
01/06/1999
Date expires
06/05/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
SALMON ID 83467
idaholicensing.com
ID 43733827
LAST UPDATED 2024-02-24 00:27:47 UTC
LAST UPDATED 2024-02-24 00:27:47 UTC
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