PAIGE L SHAFER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005829

License Status

INACTIVE

Business

First Name

PAIGE

Middle

Last Name

SHAFER

Business Name

PAIGE L SHAFER

Original Issue Date

10/11/2011

Effective Date

07/22/2015

Expiration Date

09/30/2017

City

PINE BUSH

State

Zip

12566

Ever Disciplined

LastModifiedDate

07/07/2017