Idaho
Division of Occupational and Professional Licenses
W DAVID PENTECOST
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 168
Date granted
09/10/2001
Date expires
06/21/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43729746
LAST UPDATED 2024-04-30 09:17:18 UTC
LAST UPDATED 2024-04-30 09:17:18 UTC
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