Idaho
Division of Occupational and Professional Licenses
SHAWNA DENISE BOTOS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 362
Date granted
05/11/2004
Date expires
05/25/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
BOISE ID 83713
idaholicensing.com
ID 43733822
LAST UPDATED 2024-03-02 21:09:06 UTC
LAST UPDATED 2024-03-02 21:09:06 UTC
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