SUZANNE M STAYTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007924

License Status

ACTIVE

Business

First Name

SUZANNE M

Last Name

STAYTON

Business Name

SUZANNE M STAYTON

Original Issue Date

01/08/1994

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/09/2024