STACEY A SPILLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013736

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

SPILLER

Business Name

STACEY A SPILLER

Original Issue Date

12/16/2003

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

09/17/2024