SHANNON MARIE VANANTWERP - Physical Therapist License in Illinois | # 070019535

SHANNON MARIE VANANTWERP

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019535

License Status

ACTIVE

Business

N

First Name

SHANNON

Middle

MARIE

Last Name

VANANTWERP

Business Name

SHANNON MARIE VANANTWERP

Original Issue Date

10/09/2012

Effective Date

08/02/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/02/2024