MICHAEL LEE SHAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026765

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

LEE

Last Name

SHAW

Business Name

MICHAEL LEE SHAW

Original Issue Date

07/11/2022

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

09/03/2024