Idaho
Division of Occupational and Professional Licenses
SHAYLA MAE MOULTON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4015
Date granted
05/01/2015
Date expires
01/24/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
FALLON NV 89406
idaholicensing.com
ID 43734457
LAST UPDATED 2024-04-22 11:14:31 UTC
LAST UPDATED 2024-04-22 11:14:31 UTC
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