SHANNON R LOPICCOLO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013750

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

LOPICCOLO

Business Name

SHANNON R LOPICCOLO

Original Issue Date

12/29/2003

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

DUNLAP

State

Zip

61525

Ever Disciplined

LastModifiedDate

09/20/2024