SHAWN D LERCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002994

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

LERCH

Business Name

SHAWN D LERCH

Original Issue Date

05/07/1998

Effective Date

05/07/1998

Expiration Date

09/30/2003

City

MADISON

State

Zip

53714

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005