SHAWN R THIELE - Physical Therapist License in Wisconsin | # 070016765

SHAWN R THIELE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016765

License Status

INACTIVE

Business

N

First Name

SHAWN

Middle

R

Last Name

THIELE

Business Name

SHAWN R THIELE

Original Issue Date

10/21/2008

Effective Date

09/19/2018

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2020