Idaho
Division of Occupational and Professional Licenses
TIMOTHY ROSS CLARK
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 168
Date granted
10/20/1998
Date expires
02/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
TWIN FALLS ID 83301
idaholicensing.com
ID 43733906
LAST UPDATED 2024-04-30 03:23:29 UTC
LAST UPDATED 2024-04-30 03:23:29 UTC
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