MADALYN R SHAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025213

License Status

ACTIVE

Business

First Name

MADALYN

Middle

Last Name

SHAW

Business Name

MADALYN R SHAW

Original Issue Date

06/19/2020

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/25/2024