CAROL S STASH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001073

License Status

INACTIVE

Business

First Name

CAROL

Middle

Last Name

STASH

Business Name

CAROL S STASH

Original Issue Date

12/02/1991

Effective Date

12/02/1991

Expiration Date

09/30/2005

City

ALBANY

State

Zip

61230

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005