NATALIE R SHIELDS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001037

License Status

INACTIVE

Business

First Name

NATALIE R

Last Name

SHIELDS

Business Name

NATALIE R SHIELDS

Original Issue Date

11/23/1991

Effective Date

11/23/1991

Expiration Date

09/30/2003

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/17/2005