STACI M LAPORTA - Physical Therapist License in Illinois | # 160000546

STACI M LAPORTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000546

License Status

NOT RENEWED

Business

N

First Name

STACI M

Last Name

LAPORTA

Business Name

STACI M LAPORTA

Original Issue Date

09/12/1991

Effective Date

09/30/2009

Expiration Date

09/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2011