STACEY ANN DUSTER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010579

License Status

ACTIVE

Business

First Name

STACEY ANN

Last Name

DUSTER

Business Name

STACEY ANN DUSTER

Original Issue Date

04/28/1998

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

EAST DUBUQUE

State

Zip

61025

Ever Disciplined

LastModifiedDate

09/19/2024