Idaho
Division of Occupational and Professional Licenses
SHANNON SCROGHAM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 342
Date granted
07/03/2003
Date expires
12/29/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83404
idaholicensing.com
ID 43734621
LAST UPDATED 2024-03-13 13:13:32 UTC
LAST UPDATED 2024-03-13 13:13:32 UTC
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