SHAWN R THIELE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016765

License Status

INACTIVE

Business

First Name

SHAWN

Middle

Last Name

THIELE

Business Name

SHAWN R THIELE

Original Issue Date

10/21/2008

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

PLATTEVILLE

State

Zip

53818

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/27/2020