License holder summary

THEODORE WILLIAM PETERSON is a State Occupational Therapy Licensure Board - Occupational Therapist licensed to practice in Idaho. The address on file for THEODORE WILLIAM PETERSON is POCATELLO ID 83201. This licensed professional license is current. The license was granted 07/08/2008 and expired on 01/06/2017.

Idaho

Division of Occupational and Professional Licenses

THEODORE WILLIAM PETERSON
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 886
Date granted
07/08/2008
Date expires
01/06/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43729019
LAST UPDATED 2024-02-12 23:20:38 UTC

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