KRISTA R SHUMATE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003610

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

SHUMATE

Business Name

KRISTA R SHUMATE

Original Issue Date

05/10/2000

Effective Date

05/10/2000

Expiration Date

09/30/2003

City

AFFTON

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005