STACIE L WELCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002448

License Status

NOT RENEWED

Business

First Name

STACIE L

Last Name

WELCH

Business Name

STACIE L WELCH

Original Issue Date

05/21/1996

Effective Date

08/08/2011

Expiration Date

09/30/2013

City

HARTFORD

State

Zip

62048

County

MADISON

Ever Disciplined

LastModifiedDate

11/12/2013