CHRISTINE A STEPHENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004369

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

STEPHENS

Business Name

CHRISTINE A STEPHENS

Original Issue Date

11/17/2004

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

11/04/2009