CAROL S STASH - Physical Therapist License in Illinois | # 160001073

CAROL S STASH

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001073

License Status

INACTIVE

Business

N

First Name

CAROL

Middle

S

Last Name

STASH

Business Name

CAROL S STASH

Original Issue Date

12/02/1991

Effective Date

12/02/1991

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005