Idaho
Division of Occupational and Professional Licenses
SHANNON MARIE PUDELKO
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1607
Date granted
05/05/2016
Date expires
11/23/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Current
Address
BOISE ID 83705
idaholicensing.com
ID 43729767
LAST UPDATED 2026-03-26 13:01:58 UTC
LAST UPDATED 2026-03-26 13:01:58 UTC
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