License holder summary

MS. LEEANN KRISTIN SHAW is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for MS. LEEANN KRISTIN SHAW is IDAHO FALLS ID 83402. This licensed professional license is current. The license was granted 05/25/2016 and expired on 11/20/2017.

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

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