SHAYLA D SANDBERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006731

License Status

NOT RENEWED

Business

First Name

SHAYLA

Middle

Last Name

SANDBERG

Business Name

SHAYLA D SANDBERG

Original Issue Date

04/11/2014

Effective Date

09/18/2019

Expiration Date

01/31/2022

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/19/2022