STACEY A NURNBERGER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001558

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

NURNBERGER

Business Name

STACEY A NURNBERGER

Original Issue Date

10/07/1992

Effective Date

09/30/2019

Expiration Date

12/31/2021

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

12/31/2021