License holder summary

TINA WRAY CARLSTROM is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for TINA WRAY CARLSTROM is JULIAETTA ID 83535. This licensed professional license is current. The license was granted 09/13/2007 and expired on 07/17/2017.

Idaho

Division of Occupational and Professional Licenses

TINA WRAY CARLSTROM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2278
Date granted
09/13/2007
Date expires
07/17/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
JULIAETTA ID 83535
idaholicensing.com
ID 43733871
LAST UPDATED 2024-05-02 05:33:00 UTC

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