STACEY C SCOTT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003804

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SCOTT

Business Name

STACEY C SCOTT

Original Issue Date

02/14/2001

Effective Date

07/12/2011

Expiration Date

09/30/2013

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2013