CAROL S STASH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013686

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

STASH

Business Name

CAROL S STASH

Original Issue Date

10/20/2003

Effective Date

08/15/2016

Expiration Date

09/30/2018

City

ALBANY

State

Zip

61230

County

WHITESIDE

Ever Disciplined

LastModifiedDate

12/05/2018