STACY E CARROLL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012800

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

CARROLL

Business Name

STACY E CARROLL

Original Issue Date

12/21/2001

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

STEWARDSON

State

Zip

62463

Ever Disciplined

LastModifiedDate

09/27/2024