License holder summary

MCANALLY , SHASTA LARUTH is a Department Of Health - Physical Therapist Assistant licensed to practice in Tennessee. This medical licensee license is current. The license was granted 06/23/2011 and expired on 07/31/2017.

Department of Health

Board of Medical Examiners

MCANALLY , SHASTA LARUTH
Department Of Health - Physical Therapist Assistant
License number
4962
Date granted
06/23/2011
Date expires
07/31/2017
Class
Department Of Health - Physical Therapist Assistant
Status
Licensed
Address
medicaltn.com
ID 42332414
LAST UPDATED 2024-04-17 14:14:06 UTC

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