STACIE C BERTRAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005480

License Status

ACTIVE

Business

First Name

STACIE C

Last Name

BERTRAM

Business Name

STACIE C BERTRAM

Original Issue Date

08/13/1988

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/23/2024