CAROLYN M SHUPERT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004896

License Status

INACTIVE

Business

First Name

CAROLYN M

Last Name

SHUPERT

Business Name

CAROLYN M SHUPERT

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

09/30/1990

City

PARKTON

State

Zip

21120

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/14/2005