LISA D STUPER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003557

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

STUPER

Business Name

LISA D STUPER

Original Issue Date

01/28/2000

Effective Date

09/25/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/25/2025