BRENDA L SHAFFER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003826

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

SHAFFER

Business Name

BRENDA L SHAFFER

Original Issue Date

04/11/2001

Effective Date

04/11/2001

Expiration Date

09/30/2001

City

INDIANAPOLIS

State

Zip

46227

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005