ZACK SHAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023183

License Status

ACTIVE

Business

First Name

ZACK

Last Name

SHAW

Business Name

ZACK SHAW

Original Issue Date

08/17/2017

Effective Date

09/01/2024

Expiration Date

09/30/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/01/2024