JEREMY D SHOUP Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023927

License Status

ACTIVE

Business

First Name

JEREMY

Middle

Last Name

SHOUP

Business Name

JEREMY D SHOUP

Original Issue Date

08/31/2018

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60565

Ever Disciplined

LastModifiedDate

09/06/2024