KATHLEEN M MCSHANE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001648

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

MCSHANE

Business Name

KATHLEEN M MCSHANE

Original Issue Date

12/22/1972

Effective Date

12/22/1972

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005