SHAN E WAID Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009347

License Status

ACTIVE

Business

First Name

SHAN

Middle

Last Name

WAID

Business Name

SHAN E WAID

Original Issue Date

08/13/2021

Effective Date

08/15/2025

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

Ever Disciplined

LastModifiedDate

08/15/2025