SHANI M DOUGLAS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013962

License Status

ACTIVE

Business

First Name

SHANI

Middle

Last Name

DOUGLAS

Business Name

SHANI M DOUGLAS

Original Issue Date

06/08/2004

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2024