SHELBY KAYE WALLACE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004260

License Status

NOT RENEWED

Business

First Name

SHELBY KAYE

Last Name

WALLACE

Business Name

SHELBY KAYE WALLACE

Original Issue Date

07/02/1984

Effective Date

07/02/1984

Expiration Date

09/30/1988

City

CHARLOTTE

State

Zip

28226

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2005