LISA M SHAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009273

License Status

ACTIVE

Business

First Name

LISA M

Last Name

SHAW

Business Name

LISA M SHAW

Original Issue Date

01/10/1996

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

08/13/2024