SUE K SHANNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004853

License Status

NOT RENEWED

Business

First Name

SUE K

Last Name

SHANNON

Business Name

SUE K SHANNON

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

09/30/1996

City

SHREVEPORT

State

Zip

71106

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/14/2005