Indiana
Professional Licensing Agency
Shane Michael Disheaux
Occupational Therapy Assistant
License number
32001345A
Date granted
04/06/2006
Date expires
12/31/2014
Class
Occupational Therapy Assistant
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8275805
LAST UPDATED 2024-04-03 11:04:29 UTC
LAST UPDATED 2024-04-03 11:04:29 UTC
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