STACEY STOWALL MCCUSKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012438

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

STOWALL

Last Name

MCCUSKER

Business Name

STACEY STOWALL MCCUSKER

Original Issue Date

04/19/2001

Effective Date

09/07/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018