SHAUNA SUZANN FARRELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004216

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

SUZANN

Last Name

FARRELL

Business Name

SHAUNA SUZANN FARRELL

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

09/30/2005

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005