SHELLICE R BOUSSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021575

License Status

ACTIVE

Business

First Name

SHELLICE

Middle

Last Name

BOUSSON

Business Name

SHELLICE R BOUSSON

Original Issue Date

08/11/2015

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2024