STACEY R PENAFLOR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026999

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

PENAFLOR

Business Name

STACEY R PENAFLOR

Original Issue Date

09/28/2022

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/13/2024