SHASTA DEANE HAYES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005276

License Status

NOT RENEWED

Business

First Name

SHASTA

Middle

DEANE

Last Name

HAYES

Business Name

SHASTA DEANE HAYES

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

09/30/2011

City

SHREVEPORT

State

Zip

71109

County

LOUISIANA

Ever Disciplined

LastModifiedDate

11/04/2011