GARY DARELL SHIELDS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011829

License Status

NOT RENEWED

Business

First Name

GARY

Middle

DARELL

Last Name

SHIELDS

Business Name

GARY DARELL SHIELDS

Original Issue Date

03/21/2000

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

KENNETT SQUARE

State

Zip

19348

Ever Disciplined

LastModifiedDate

11/06/2008