SHELLY A URBAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008614

License Status

NOT RENEWED

Business

First Name

SHELLY A

Last Name

URBAN

Business Name

SHELLY A URBAN

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/2004

City

WAUKEE

State

Zip

50263

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005