License holder summary

SHANNON KAY HIETSCHOLD is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for SHANNON KAY HIETSCHOLD is HAPPY VALLEY OR 97086. This licensed professional license is current. The license was granted 03/18/2014 and expired on 04/30/2017.

Idaho

Division of Occupational and Professional Licenses

SHANNON KAY HIETSCHOLD
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3568
Date granted
03/18/2014
Date expires
04/30/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
HAPPY VALLEY OR 97086
idaholicensing.com
ID 43731551
LAST UPDATED 2024-03-03 13:52:43 UTC

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