STACY R GOOD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017434

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

GOOD

Business Name

STACY R GOOD

Original Issue Date

09/17/2009

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

08/22/2024