Idaho
Division of Occupational and Professional Licenses
TRENT D. JACKMAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1236
Date granted
08/25/1997
Date expires
03/14/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
CHUBBUCK ID 83202
idaholicensing.com
ID 43731710
LAST UPDATED 2024-03-08 02:54:41 UTC
LAST UPDATED 2024-03-08 02:54:41 UTC
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