STACEY LEE MITCHELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017140

License Status

ACTIVE

Business

First Name

STACEY

Middle

LEE

Last Name

MITCHELL

Business Name

STACEY LEE MITCHELL

Original Issue Date

06/15/2009

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/06/2024