SHANTIA LATRICE WARREN - Physical Therapist License in Georgia | # 070019905

SHANTIA LATRICE WARREN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019905

License Status

NOT RENEWED

Business

N

First Name

SHANTIA

Middle

LATRICE

Last Name

WARREN

Business Name

SHANTIA LATRICE WARREN

Original Issue Date

06/26/2013

Effective Date

09/15/2014

Expiration Date

09/30/2016

State

GA

Ever Disciplined

N

LastModifiedDate

11/26/2016