SAMANTHA LEE SCHALLERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008952

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

LEE

Last Name

SCHALLERT

Business Name

SAMANTHA LEE SCHALLERT

Original Issue Date

07/22/2020

Effective Date

07/22/2020

Expiration Date

01/31/2022

City

MAPLEWOOD

State

Zip

63143

Ever Disciplined

LastModifiedDate

05/19/2022