License holder summary

SHASTINA MARIE BLACKSTON is a State Occupational Therapy Licensure Board - Occupational Therapy Assistant licensed to practice in Idaho. The address on file for SHASTINA MARIE BLACKSTON is KALISPELL MT 59901. This licensed professional license is not current. The license was granted 02/27/2014 and expired on 07/20/2015.

Idaho

Division of Occupational and Professional Licenses

SHASTINA MARIE BLACKSTON
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
License number
OTA - 1302
Date granted
02/27/2014
Date expires
07/20/2015
Class
State Occupational Therapy Licensure Board - Occupational Therapy Assistant
Status
Not Current
Address
KALISPELL MT 59901
idaholicensing.com
ID 43729473
LAST UPDATED 2024-03-13 12:16:47 UTC

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