SHANNON C PALACIOS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006304

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

PALACIOS

Business Name

SHANNON C PALACIOS

Original Issue Date

12/04/2012

Effective Date

07/22/2015

Expiration Date

09/30/2017

City

COLDWATER

State

Zip

49036

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017