SHANNON R JOHNSON - Physical Therapist License in Illinois | # 160003038

SHANNON R JOHNSON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003038

License Status

INACTIVE

Business

N

First Name

SHANNON

Middle

R

Last Name

JOHNSON

Business Name

SHANNON R JOHNSON

Original Issue Date

08/13/1998

Effective Date

12/14/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

06/28/2023