SHANE C HENSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004466

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

HENSON

Business Name

SHANE C HENSON

Original Issue Date

09/08/2005

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

MULBERRY GROVE

State

Zip

62262

County

BOND

Ever Disciplined

LastModifiedDate

05/19/2022