STACEY L GROHMANN - Physical Therapist License in Florida | # 160004104

STACEY L GROHMANN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004104

License Status

INACTIVE

Business

N

First Name

STACEY

Middle

L

Last Name

GROHMANN

Business Name

STACEY L GROHMANN

Original Issue Date

10/09/2002

Effective Date

10/09/2002

Expiration Date

09/30/2003

State

FL

Ever Disciplined

N

LastModifiedDate

10/17/2005