Idaho
Division of Occupational and Professional Licenses
SHAWNA ELISA BENNER-ERICKSON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1783
Date granted
01/27/2003
Date expires
03/05/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Sandpoint ID 83864
idaholicensing.com
ID 43730469
LAST UPDATED 2024-02-24 01:25:30 UTC
LAST UPDATED 2024-02-24 01:25:30 UTC
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