License holder summary

THOMAS DOMINGO SHAW is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for THOMAS DOMINGO SHAW is KIMBERLY ID 83341. This licensed professional license is current. The license was granted 05/02/1997 and expired on 08/09/2017.

Idaho

Division of Occupational and Professional Licenses

THOMAS DOMINGO SHAW
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1189
Date granted
05/02/1997
Date expires
08/09/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
KIMBERLY ID 83341
idaholicensing.com
ID 43733060
LAST UPDATED 2024-02-17 01:48:24 UTC

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