SHAYNE J BOLLHEIMER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003017

License Status

ACTIVE

Business

First Name

SHAYNE

Middle

Last Name

BOLLHEIMER

Business Name

SHAYNE J BOLLHEIMER

Original Issue Date

07/01/1998

Effective Date

10/21/2025

Expiration Date

09/30/2027

City

BECKEMEYER

State

Zip

62219

County

CLINTON

Ever Disciplined

LastModifiedDate

10/21/2025