GREGORY S STANFORTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002749

License Status

ACTIVE

Business

First Name

GREGORY S

Last Name

STANFORTH

Business Name

GREGORY S STANFORTH

Original Issue Date

08/12/1997

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/08/2025