DUSTIN D STEPHENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019283

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

Last Name

STEPHENS

Business Name

DUSTIN D STEPHENS

Original Issue Date

08/06/2012

Effective Date

08/11/2016

Expiration Date

09/30/2018

City

FORREST

State

Zip

61741

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

12/05/2018