LACEY M NEAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004123

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

NEAL

Business Name

LACEY M NEAL

Original Issue Date

11/20/2002

Effective Date

07/11/2011

Expiration Date

09/30/2013

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/12/2013