STACEY R ANDERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010515

License Status

ACTIVE

Business

First Name

STACEY R

Last Name

ANDERSON

Business Name

STACEY R ANDERSON

Original Issue Date

03/17/1998

Effective Date

07/21/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

07/21/2024