Idaho
Division of Occupational and Professional Licenses
MICHAEL SHAWN ANDERSON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1452
Date granted
08/09/1999
Date expires
01/01/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
IDAHO FALLS ID 83406
idaholicensing.com
ID 43730297
LAST UPDATED 2024-04-24 12:17:09 UTC
LAST UPDATED 2024-04-24 12:17:09 UTC
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