License holder summary

EVELYN GWENN SHIPKA is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for EVELYN GWENN SHIPKA is BOISE ID 83704. This licensed professional license is current. The license was granted 08/02/2005 and expired on 11/19/2016.

Idaho

Division of Occupational and Professional Licenses

EVELYN GWENN SHIPKA
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 415
Date granted
08/02/2005
Date expires
11/19/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83704
idaholicensing.com
ID 43734635
LAST UPDATED 2026-05-16 02:12:49 UTC

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