SHAWN M WAGSTAFF - Physical Therapist License in Utah | # 070010107

SHAWN M WAGSTAFF

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010107

License Status

NOT RENEWED

Business

N

First Name

SHAWN M

Last Name

WAGSTAFF

Business Name

SHAWN M WAGSTAFF

Original Issue Date

05/03/1997

Effective Date

05/03/1997

Expiration Date

09/30/1998

State

UT

Ever Disciplined

N

LastModifiedDate

10/14/2005