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
LAST UPDATED 2024-03-13 12:16:47 UTC
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