CAROLYN T STACKHOUSE - Physical Therapist License in Illinois | # 070003559

CAROLYN T STACKHOUSE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003559

License Status

NOT RENEWED

Business

N

First Name

CAROLYN T

Last Name

STACKHOUSE

Business Name

CAROLYN T STACKHOUSE

Original Issue Date

10/29/1981

Effective Date

10/29/1981

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005