STACY C WARREN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006112

License Status

NOT RENEWED

Business

First Name

STACY C

Last Name

WARREN

Business Name

STACY C WARREN

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

09/30/1992

City

TALLAHASSEE

State

Zip

32308

Ever Disciplined

LastModifiedDate

10/14/2005