SHARA CLARENTINE GOETZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006191

License Status

INACTIVE

Business

First Name

SHARA

Middle

CLARENTINE

Last Name

GOETZ

Business Name

SHARA CLARENTINE GOETZ

Original Issue Date

10/03/2012

Effective Date

10/03/2012

Expiration Date

09/30/2013

City

DEERFIELD

State

Zip

49238

Ever Disciplined

LastModifiedDate

07/03/2013