SHELLEY R OTT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016047

License Status

INACTIVE

Business

First Name

SHELLEY

Middle

Last Name

OTT

Business Name

SHELLEY R OTT

BusinessDBA

MISS

Original Issue Date

09/28/2007

Effective Date

09/20/2010

Expiration Date

09/30/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/05/2012