SHANNON R MILLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026983

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

MILLER

Business Name

SHANNON R MILLER

Original Issue Date

09/28/2022

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/10/2024