DEREK T SHIELDS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012693

License Status

ACTIVE

Business

First Name

DEREK

Middle

Last Name

SHIELDS

Business Name

DEREK T SHIELDS

Original Issue Date

10/10/2001

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024