JENNIFER R SHANK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010378

License Status

NOT RENEWED

Business

First Name

JENNIFER R

Last Name

SHANK

Business Name

JENNIFER R SHANK

Original Issue Date

12/19/1997

Effective Date

12/19/1997

Expiration Date

09/30/2002

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005