CRYSTAL A SHANNON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004834

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

SHANNON

Business Name

CRYSTAL A SHANNON

BusinessDBA

SMUK

Original Issue Date

09/05/2007

Effective Date

07/11/2019

Expiration Date

01/31/2022

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022