STACI A BURRIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005049

License Status

ACTIVE

Business

First Name

STACI

Middle

Last Name

BURRIS

Business Name

STACI A BURRIS

Original Issue Date

09/05/2008

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/23/2025