SHACORRAH NICOLE EVANS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019255

License Status

ACTIVE

Business

First Name

SHACORRAH

Middle

NICOLE

Last Name

EVANS

Business Name

SHACORRAH NICOLE EVANS

Original Issue Date

08/02/2012

Effective Date

09/22/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2024