License holder summary

SHELLY ANN DIBIASE is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for SHELLY ANN DIBIASE is LAKE STEVENS WA 98258. This licensed professional license is current. The license was granted 05/11/1992 and expired on 09/22/2016.

Idaho

Division of Occupational and Professional Licenses

SHELLY ANN DIBIASE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 653
Date granted
05/11/1992
Date expires
09/22/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
LAKE STEVENS WA 98258
idaholicensing.com
ID 43731010
LAST UPDATED 2024-04-02 03:01:20 UTC

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