CYNTHIA M SHATTUCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003429

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

SHATTUCK

Business Name

CYNTHIA M SHATTUCK

Original Issue Date

10/05/1999

Effective Date

08/06/2019

Expiration Date

01/31/2022

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

05/19/2022