License holder summary

WARREN JAMES LAKE is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for WARREN JAMES LAKE is REXBURG ID 83440. This licensed professional license is current. The license was granted 03/24/2014 and expired on 03/09/2017.

Idaho

Division of Occupational and Professional Licenses

WARREN JAMES LAKE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3607
Date granted
03/24/2014
Date expires
03/09/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
REXBURG ID 83440
idaholicensing.com
ID 43731985
LAST UPDATED 2024-04-23 18:52:35 UTC

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