STEPHANIE C BAILEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002101

License Status

NOT RENEWED

Business

First Name

STEPHANIE C

Last Name

BAILEY

Business Name

STEPHANIE C BAILEY

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/2001

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005