STACEY R MC CAW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004309

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MC CAW

Business Name

STACEY R MC CAW

Original Issue Date

07/14/2004

Effective Date

07/14/2004

Expiration Date

09/30/2007

City

DURANGO

State

Zip

81301

County

COLORADO

Ever Disciplined

LastModifiedDate

03/25/2008