SHANNON P GENGENBACHER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019069

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

GENGENBACHER

Business Name

SHANNON P GENGENBACHER

Original Issue Date

04/19/2012

Effective Date

07/16/2024

Expiration Date

09/30/2026

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

07/16/2024