STACEY LYNN TAYLOR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003849

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

TAYLOR

Business Name

STACEY LYNN TAYLOR

Original Issue Date

05/31/2001

Effective Date

05/31/2001

Expiration Date

09/30/2003

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005