THOMAS BENTON SHOAFF Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007667

License Status

ACTIVE

Business

First Name

THOMAS

Middle

BENTON

Last Name

SHOAFF

Business Name

THOMAS BENTON SHOAFF

Original Issue Date

09/13/2016

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/30/2025