SANDY A SHORTLAND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002610

License Status

NOT RENEWED

Business

First Name

SANDY A

Last Name

SHORTLAND

Business Name

SANDY A SHORTLAND

Original Issue Date

12/26/1996

Effective Date

10/01/2021

Expiration Date

09/30/2023

City

ELIZABETHTOWN

State

Zip

62931

County

FRANKLIN

Ever Disciplined

LastModifiedDate

02/02/2024