STEPHANIE L EVANS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015617

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

EVANS

Business Name

STEPHANIE L EVANS

BusinessDBA

STEPHANIE EGERTSON

Original Issue Date

03/09/2007

Effective Date

09/10/2010

Expiration Date

09/30/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/16/2013