STEPHANIE L PHILLIPS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003890

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

PHILLIPS

Business Name

STEPHANIE L PHILLIPS

Original Issue Date

09/13/2001

Effective Date

09/09/2015

Expiration Date

09/30/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/07/2017