STACEY L CANALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009298

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

CANALE

Business Name

STACEY L CANALE

Original Issue Date

01/13/1996

Effective Date

01/13/1996

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005