SHELLY AUSTIN SUDBURY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002869

License Status

INACTIVE

Business

First Name

SHELLY AUSTIN

Last Name

SUDBURY

Business Name

SHELLY AUSTIN SUDBURY

Original Issue Date

02/05/1979

Effective Date

02/05/1979

Expiration Date

09/30/1984

City

KOHLER

State

Zip

53044

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005