STACEY L TRULOCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017169

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

TRULOCK

Business Name

STACEY L TRULOCK

Original Issue Date

06/29/2009

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/23/2024