JEAN R SHANNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005979

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

SHANNON

Business Name

JEAN R SHANNON

Original Issue Date

04/02/2012

Effective Date

12/21/2021

Expiration Date

09/30/2023

City

BRISTOL

State

Zip

53104

Ever Disciplined

LastModifiedDate

02/02/2024