STACY M SKILLIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003560

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

SKILLIN

Business Name

STACY M SKILLIN

Original Issue Date

01/31/2000

Effective Date

09/08/2011

Expiration Date

09/30/2013

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/03/2013