SHANE T STACHURA - Physical Therapist License in Illinois | # 070016981

SHANE T STACHURA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016981

License Status

ACTIVE

Business

N

First Name

SHANE

Middle

T

Last Name

STACHURA

Business Name

SHANE T STACHURA

Original Issue Date

03/10/2009

Effective Date

09/24/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/24/2024