GARY DARELL SHIELDS - Physical Therapist License in Pennsylvania | # 070011829

GARY DARELL SHIELDS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011829

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

DARELL

Last Name

SHIELDS

Business Name

GARY DARELL SHIELDS

Original Issue Date

03/21/2000

Effective Date

10/01/2006

Expiration Date

09/30/2008

State

PA

Ever Disciplined

N

LastModifiedDate

11/06/2008