STACEY A KINSEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004563

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

KINSEY

Business Name

STACEY A KINSEY

Original Issue Date

08/16/1985

Effective Date

08/16/1985

Expiration Date

09/30/1992

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005