EDWARD M STAKENAS - Physical Therapist License in Illinois | # 070011703

EDWARD M STAKENAS

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011703

License Status

ACTIVE

Business

N

First Name

EDWARD

Middle

M

Last Name

STAKENAS

Business Name

EDWARD M STAKENAS

Original Issue Date

01/25/2000

Effective Date

09/16/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/16/2024