GAYLE J SHATEK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013675

License Status

NOT RENEWED

Business

First Name

GAYLE

Middle

Last Name

SHATEK

Business Name

GAYLE J SHATEK

Original Issue Date

10/10/2003

Effective Date

10/10/2003

Expiration Date

09/30/2004

City

FARGO

State

Zip

58103

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/17/2005