STACEY LYNN WIGGERS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010750

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

WIGGERS

Business Name

STACEY LYNN WIGGERS

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

09/30/2004

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005