SHANNON R WITTKOFSKI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009844

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

WITTKOFSKI

Business Name

SHANNON R WITTKOFSKI

Original Issue Date

05/10/2023

Effective Date

09/17/2025

Expiration Date

09/30/2027

City

WILLOW SPRINGS

State

Zip

60480

Ever Disciplined

LastModifiedDate

09/17/2025