ZACHARY A SHINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007946

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

Last Name

SHINE

Business Name

ZACHARY A SHINE

Original Issue Date

08/09/2017

Effective Date

08/09/2017

Expiration Date

09/30/2019

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

01/13/2020