KYLE D SHIVELY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009371

License Status

ACTIVE

Business

First Name

KYLE

Middle

Last Name

SHIVELY

Business Name

KYLE D SHIVELY

Original Issue Date

08/19/2021

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/15/2025