License holder summary

SHANNON MARIE PUDELKO is a State Occupational Therapy Licensure Board - Occupational Therapy Assistant licensed to practice in Idaho. The address on file for SHANNON MARIE PUDELKO is BOISE ID 83705. This licensed professional license is current. The license was granted 05/05/2016 and expired on 11/23/2017.

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

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