STACI K ISOM - Physical Therapist License in Missouri | # 160003015

STACI K ISOM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003015

License Status

NOT RENEWED

Business

N

First Name

STACI

Middle

K

Last Name

ISOM

Business Name

STACI K ISOM

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

09/30/1999

State

MO

Ever Disciplined

N

LastModifiedDate

10/14/2005