STACEY A BLAUSTEIN - Physical Therapist License in Illinois | # 070009016

STACEY A BLAUSTEIN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009016

License Status

INACTIVE

Business

N

First Name

STACEY A

Last Name

BLAUSTEIN

Business Name

STACEY A BLAUSTEIN

Original Issue Date

09/06/1995

Effective Date

09/06/1995

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005