Idaho
Division of Occupational and Professional Licenses
JASON BLAINE SHAW
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 938
Date granted
07/25/1995
Date expires
05/27/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
RIGBY ID 83442
idaholicensing.com
ID 43733059
LAST UPDATED 2024-03-05 21:07:04 UTC
LAST UPDATED 2024-03-05 21:07:04 UTC
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