SHANNON RAYE HEEREN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025100

License Status

ACTIVE

Business

First Name

SHANNON

Middle

RAYE

Last Name

HEEREN

Business Name

SHANNON RAYE HEEREN

Original Issue Date

05/27/2020

Effective Date

09/01/2024

Expiration Date

09/30/2026

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/01/2024