Michigan
Department of Licensing and Regulation
SHANNON RENEE EICKHOLT
Physical Therapy - Physical Therapist Assistant
License number
5502002672
Date granted
10/26/2011
Date expires
07/31/2016
Class
Physical Therapy - Physical Therapist Assistant
Status
Active
Address
michiganlicensing.org
ID 25973678
LAST UPDATED 2026-04-23 03:13:54 UTC
LAST UPDATED 2026-04-23 03:13:54 UTC
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