STUTI K SHAH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021802

License Status

ACTIVE

Business

First Name

STUTI

Middle

Last Name

SHAH

Business Name

STUTI K SHAH

Original Issue Date

08/28/2015

Effective Date

08/02/2024

Expiration Date

09/30/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/02/2024