STEPHANIE C DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012589

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

DAVIS

Business Name

STEPHANIE C DAVIS

Original Issue Date

08/22/2001

Effective Date

09/22/2020

Expiration Date

09/30/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/28/2022