MARJORIE MERCKX STUMP Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002404

License Status

INACTIVE

Business

First Name

MARJORIE MERCKX

Last Name

STUMP

Business Name

MARJORIE MERCKX STUMP

Original Issue Date

05/24/1977

Effective Date

08/23/2012

Expiration Date

09/30/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014