SUSAN A STICKELMAIER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000705

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

STICKELMAIER

Business Name

SUSAN A STICKELMAIER

Original Issue Date

10/09/1991

Effective Date

10/09/1991

Expiration Date

09/30/1999

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2005