License holder summary

SHAYLA MAE MOULTON is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for SHAYLA MAE MOULTON is FALLON NV 89406. This licensed professional license is current. The license was granted 05/01/2015 and expired on 01/24/2017.

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

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