SARAI O SHACKLETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019355

License Status

ACTIVE

Business

First Name

SARAI

Middle

Last Name

SHACKLETT

Business Name

SARAI O SHACKLETT

Original Issue Date

08/14/2012

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

VINE GROVE

State

Zip

40175

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/09/2024