STACIE DAWN CHAMBLISS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016676

License Status

ACTIVE

Business

First Name

STACIE

Middle

DAWN

Last Name

CHAMBLISS

Business Name

STACIE DAWN CHAMBLISS

Original Issue Date

09/04/2008

Effective Date

07/06/2024

Expiration Date

09/30/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/06/2024