Department of Health
Board of Medical Examiners
BLACKWELL , MICHAEL SHANE
Department Of Health - Physical Therapist Assistant
License number
3159
Date granted
12/19/2000
Date expires
01/31/2017
Class
Department Of Health - Physical Therapist Assistant
Status
Licensed
Address
medicaltn.com
ID 42328847
LAST UPDATED 2024-05-13 16:07:20 UTC
LAST UPDATED 2024-05-13 16:07:20 UTC
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