SHELLY K WEAKLY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005385

License Status

ACTIVE

Business

First Name

SHELLY K

Last Name

WEAKLY

Business Name

SHELLY K WEAKLY

Original Issue Date

03/08/1988

Effective Date

08/25/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/25/2024