SHANNON M BENGSTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015035

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

BENGSTON

Business Name

SHANNON M BENGSTON

Original Issue Date

04/24/2006

Effective Date

07/28/2010

Expiration Date

09/30/2012

City

SAINT LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2014