STACEY L SHIMMIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003049

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SHIMMIN

Business Name

STACEY L SHIMMIN

Original Issue Date

08/20/1998

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/13/2020