SAMANTHA KAY STAFFORD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020658

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

KAY

Last Name

STAFFORD

Business Name

SAMANTHA KAY STAFFORD

Original Issue Date

05/12/2014

Effective Date

09/19/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/19/2024