EDWARD M STAKENAS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011703

License Status

ACTIVE

Business

First Name

EDWARD

Middle

Last Name

STAKENAS

Business Name

EDWARD M STAKENAS

Original Issue Date

01/25/2000

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

09/16/2024