SHIRLEY A BARNUM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001607

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

BARNUM

Business Name

SHIRLEY A BARNUM

Original Issue Date

12/01/1992

Effective Date

12/01/1992

Expiration Date

09/30/2005

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005