REBECCA J SHULTS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001694

License Status

INACTIVE

Business

First Name

REBECCA J

Last Name

SHULTS

Business Name

REBECCA J SHULTS

Original Issue Date

05/03/1993

Effective Date

05/03/1993

Expiration Date

09/30/2005

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005