SHAUNA SUZANN FARRELL - Physical Therapist License in Missouri | # 160004216

SHAUNA SUZANN FARRELL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004216

License Status

NOT RENEWED

Business

N

First Name

SHAUNA

Middle

SUZANN

Last Name

FARRELL

Business Name

SHAUNA SUZANN FARRELL

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

09/30/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005