Iowa
Professional Licensing Bureau
SHAWN ALLEN ANTONIVICH
Physical And Occupational Therapy - Physical Therapist Assistant
License number
00335
Date granted
01/26/1996
Date expires
06/15/1997
Class
Physical And Occupational Therapy - Physical Therapist Assistant
Status
Inactive
Address
33 GARFIELD AVE. SPRINGFIELD VT 05156
iowalicenses.org
ID 24184987
LAST UPDATED 2024-02-26 00:55:39 UTC
LAST UPDATED 2024-02-26 00:55:39 UTC
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