STACIE L DICHSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007474

License Status

ACTIVE

Business

First Name

STACIE L

Last Name

DICHSEN

Business Name

STACIE L DICHSEN

Original Issue Date

04/23/1993

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/16/2024