SHANTIA LATRICE WARREN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019905

License Status

NOT RENEWED

Business

First Name

SHANTIA

Middle

LATRICE

Last Name

WARREN

Business Name

SHANTIA LATRICE WARREN

Original Issue Date

06/26/2013

Effective Date

09/15/2014

Expiration Date

09/30/2016

City

DECATUR

State

Zip

30034

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/26/2016