SHANNON M PISCHAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015268

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

PISCHAK

Business Name

SHANNON M PISCHAK

Original Issue Date

08/22/2006

Effective Date

08/11/2014

Expiration Date

09/30/2016

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/26/2016