SHANE T STACHURA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016981

License Status

ACTIVE

Business

First Name

SHANE

Middle

Last Name

STACHURA

Business Name

SHANE T STACHURA

Original Issue Date

03/10/2009

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

BUCKLEY

State

Zip

60918

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/24/2024