TIMOTHY A SHIRK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004704

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

SHIRK

Business Name

TIMOTHY A SHIRK

Original Issue Date

11/15/2006

Effective Date

09/11/2009

Expiration Date

09/30/2011

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/04/2011