STACY L MALONE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009463

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

MALONE

Business Name

STACY L MALONE

Original Issue Date

04/29/1996

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/26/2024