JENNIFER S SHAMBAUGH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001414

License Status

ACTIVE

Business

First Name

JENNIFER S

Last Name

SHAMBAUGH

Business Name

JENNIFER S SHAMBAUGH

Original Issue Date

02/04/1992

Effective Date

09/04/2025

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/04/2025