STACI M SCHWARTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013854

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

SCHWARTZ

Business Name

STACI M SCHWARTZ

Original Issue Date

03/19/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006