FERN L SHORE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000562

License Status

INACTIVE

Business

First Name

FERN L

Last Name

SHORE

Business Name

FERN L SHORE

Original Issue Date

09/24/1991

Effective Date

09/24/1991

Expiration Date

09/30/1995

City

ALTOONA

State

Zip

50009

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005