SHANNON M OTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007253

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

OTT

Business Name

SHANNON M OTT

Original Issue Date

08/06/2015

Effective Date

09/29/2023

Expiration Date

09/30/2025

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/30/2025