STACIE HAUENSTEIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024305

License Status

NOT RENEWED

Business

First Name

STACIE

Last Name

HAUENSTEIN

Business Name

STACIE HAUENSTEIN

Original Issue Date

05/15/2019

Effective Date

08/13/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022