SHELBY SHANNON LANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024068

License Status

ACTIVE

Business

First Name

SHELBY

Middle

SHANNON

Last Name

LANE

Business Name

SHELBY SHANNON LANE

Original Issue Date

11/05/2018

Effective Date

08/03/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60565

County

WILL

Ever Disciplined

LastModifiedDate

08/03/2024