KRISTA J SHEPPARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010448

License Status

ACTIVE

Business

First Name

KRISTA J

Last Name

SHEPPARD

Business Name

KRISTA J SHEPPARD

Original Issue Date

01/29/1998

Effective Date

08/24/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/24/2024