STEPHEN E BEASLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003233

License Status

NOT RENEWED

Business

First Name

STEPHEN E

Last Name

BEASLEY

Business Name

STEPHEN E BEASLEY

Original Issue Date

08/28/1980

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/17/2014