STACEY M TOMCZAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013869

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

TOMCZAK

Business Name

STACEY M TOMCZAK

Original Issue Date

03/25/2004

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

DEER PARK

State

Zip

60010

Ever Disciplined

LastModifiedDate

07/24/2024