STACIE LEE - Physical Therapist License in Illinois | # 160006115

STACIE LEE

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006115

License Status

ACTIVE

Business

N

First Name

STACIE

Last Name

LEE

Business Name

STACIE LEE

Original Issue Date

08/13/2012

Effective Date

09/22/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

09/22/2025

Case Number

2019006571

Action

Suspension

Discipline Start Date

09/20/2019

Discipline End Date

09/20/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/23/2019.