STACY M PANNBACKER - Physical Therapist License in Illinois | # 160006282

STACY M PANNBACKER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006282

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

M

Last Name

PANNBACKER

Business Name

STACY M PANNBACKER

Original Issue Date

11/27/2012

Effective Date

07/19/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2015