Idaho
Division of Occupational and Professional Licenses
MS. LEEANN KRISTIN SHAW
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4587
Date granted
05/25/2016
Date expires
11/20/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83402
idaholicensing.com
ID 43734630
LAST UPDATED 2024-02-22 01:40:55 UTC
LAST UPDATED 2024-02-22 01:40:55 UTC
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