SHASTA M MCCULLA - Physical Therapist License in Illinois | # 160005027

SHASTA M MCCULLA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005027

License Status

NOT RENEWED

Business

N

First Name

SHASTA

Middle

M

Last Name

MCCULLA

Business Name

SHASTA M MCCULLA

Original Issue Date

08/25/2008

Effective Date

09/15/2023

Expiration Date

09/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

12/30/2025