KELLY A SHAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026729

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

SHAW

Business Name

KELLY A SHAW

Original Issue Date

07/02/2022

Effective Date

07/25/2024

Expiration Date

09/30/2026

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

07/25/2024