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
LAST UPDATED 2024-02-02 07:56:47 UTC
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