SHELLEY R DIXON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002436

License Status

ACTIVE

Business

First Name

SHELLEY R

Last Name

DIXON

Business Name

SHELLEY R DIXON

Original Issue Date

05/04/1996

Effective Date

07/06/2025

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/06/2025