STACY M CRAWFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003970

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

CRAWFORD

Business Name

STACY M CRAWFORD

Original Issue Date

12/06/2001

Effective Date

08/21/2015

Expiration Date

09/30/2017

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017