STORMIE LEATHERS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019218

License Status

ACTIVE

Business

First Name

STORMIE

Last Name

LEATHERS

Business Name

STORMIE LEATHERS

Original Issue Date

07/31/2012

Effective Date

07/23/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/23/2024