SHIRLEY C JERGENSON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000946

License Status

INACTIVE

Business

First Name

SHIRLEY C

Last Name

JERGENSON

Business Name

SHIRLEY C JERGENSON

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

GALLATIN

State

Zip

37066

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2005