SHANNA DAWN PHILLIPS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014046

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

DAWN

Last Name

PHILLIPS

Business Name

SHANNA DAWN PHILLIPS

Original Issue Date

08/05/2004

Effective Date

06/30/2022

Expiration Date

09/30/2024

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/27/2025