PAMELA A MARTIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008562

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

MARTIN

Business Name

PAMELA A MARTIN

Original Issue Date

01/18/1995

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

BOISE

State

Zip

83714

County

IDAHO

Ever Disciplined

LastModifiedDate

11/08/2006