RAVEN SHAE DAVIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010442

License Status

ACTIVE

Business

First Name

RAVEN

Middle

SHAE

Last Name

DAVIS

Business Name

RAVEN SHAE DAVIS

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

09/30/2027

City

APPLE RIVER

State

Zip

61001

Ever Disciplined

LastModifiedDate

06/26/2025