THERESA M CANADA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004067

License Status

ACTIVE

Business

First Name

THERESA

Middle

Last Name

CANADA

Business Name

THERESA M CANADA

Original Issue Date

08/20/2002

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

09/15/2025