STACEY LYNN HENNESSY - Physical Therapist License in Missouri | # 070009841

STACEY LYNN HENNESSY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009841

License Status

NOT RENEWED

Business

N

First Name

STACEY LYNN

Last Name

HENNESSY

Business Name

STACEY LYNN HENNESSY

Original Issue Date

12/04/1996

Effective Date

12/04/1996

Expiration Date

09/30/2000

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005