CARYN K STANFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008836

License Status

NOT RENEWED

Business

First Name

CARYN K

Last Name

STANFORD

Business Name

CARYN K STANFORD

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

09/30/1998

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/14/2005