California
Department of Consumer Affairs
IDETA CONNIE G
Physical Therapists and Physical Therapist Assistants
License number
28017
Date granted
01/29/2003
Date expires
11/30/2016
Class
Physical Therapists and Physical Therapist Assistants
Status
Valid
californialicensing.org
ID 12187074
LAST UPDATED 2026-07-13 15:38:55 UTC
LAST UPDATED 2026-07-13 15:38:55 UTC
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