STACY L COLLINS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002367

License Status

INACTIVE

Business

First Name

STACY L

Last Name

COLLINS

Business Name

STACY L COLLINS

Original Issue Date

01/04/1996

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/05/2007