STACEY STOWALL MCCUSKER - Physical Therapist License in Illinois | # 070012438

STACEY STOWALL MCCUSKER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012438

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

STOWALL

Last Name

MCCUSKER

Business Name

STACEY STOWALL MCCUSKER

Original Issue Date

04/19/2001

Effective Date

09/07/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018