SANDRA LEA STEVENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000890

License Status

NOT RENEWED

Business

First Name

SANDRA LEA

Last Name

STEVENS

Business Name

SANDRA LEA STEVENS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005