STACY M CRAWFORD - Physical Therapist License in Illinois | # 160003970

STACY M CRAWFORD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003970

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

M

Last Name

CRAWFORD

Business Name

STACY M CRAWFORD

Original Issue Date

12/06/2001

Effective Date

08/21/2015

Expiration Date

09/30/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017