STEPHANIE BROOKE HICKS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016093

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

BROOKE

Last Name

HICKS

Business Name

STEPHANIE BROOKE HICKS

Original Issue Date

10/30/2007

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/24/2024