SUZANNE M STAYTON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001196

License Status

INACTIVE

Business

First Name

SUZANNE M

Last Name

STAYTON

Business Name

SUZANNE M STAYTON

Original Issue Date

12/23/1991

Effective Date

12/23/1991

Expiration Date

09/30/1995

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/14/2005