MARILYN S LACY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000430

License Status

NOT RENEWED

Business

First Name

MARILYN S

Last Name

LACY

Business Name

MARILYN S LACY

Original Issue Date

08/18/1991

Effective Date

08/17/2011

Expiration Date

09/30/2013

City

DESOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

11/12/2013