License holder summary

LAURA ANN MOORE SHUKLA is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for LAURA ANN MOORE SHUKLA is EAGLE ID 83616. This licensed professional license is current. The license was granted 11/09/1995 and expired on 09/12/2016.

Idaho

Division of Occupational and Professional Licenses

LAURA ANN MOORE SHUKLA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 975
Date granted
11/09/1995
Date expires
09/12/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
EAGLE ID 83616
idaholicensing.com
ID 43733072
LAST UPDATED 2024-02-02 07:56:47 UTC

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