STACY L MATTERN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005876

License Status

ACTIVE

Business

First Name

STACY L

Last Name

MATTERN

Business Name

STACY L MATTERN

Original Issue Date

01/12/1990

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/03/2024