JUSTIN J SHELLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018415

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

SHELLEY

Business Name

JUSTIN J SHELLEY

Original Issue Date

05/31/2011

Effective Date

05/31/2011

Expiration Date

09/30/2012

City

RANDOLPH

State

Zip

14772

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/16/2013