License holder summary

Shane Michael Nissen is a Physical And Occupational Therapy - Physical Therapist licensed to practice in Iowa. The address on file for Shane Michael Nissen is 629 GRANADA RD CARROLL IA 51401. This licensed professional license is current. The license was granted 02/07/2012 and expired on 05/15/2016.

Iowa

Professional Licensing Bureau

Shane Michael Nissen
Physical And Occupational Therapy - Physical Therapist
License number
004889
Date granted
02/07/2012
Date expires
05/15/2016
Class
Physical And Occupational Therapy - Physical Therapist
Status
Active
Address
629 GRANADA RD CARROLL IA 51401
iowalicenses.org
ID 24184824
LAST UPDATED 2024-04-13 01:34:29 UTC

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