CONNIE R SHELLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016686

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

SHELLEY

Business Name

CONNIE R SHELLEY

Original Issue Date

09/08/2008

Effective Date

08/31/2010

Expiration Date

09/30/2012

City

BERRIEN SPRINGS

State

Zip

49103

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/16/2013