EILEEN M SHAW Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021665

License Status

INACTIVE

Business

First Name

EILEEN

Middle

Last Name

SHAW

Business Name

EILEEN M SHAW

Original Issue Date

08/13/2015

Effective Date

08/13/2015

Expiration Date

09/30/2016

City

LIVERMORE

State

Zip

94550

Ever Disciplined

LastModifiedDate

07/06/2016