SHAUNA SLACK - Physical Therapist License in Wisconsin | # 160008189

SHAUNA SLACK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008189

License Status

NOT RENEWED

Business

N

First Name

SHAUNA

Last Name

SLACK

Business Name

SHAUNA SLACK

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2019

State

WI

Ever Disciplined

N

LastModifiedDate

01/13/2020