STACEY A DYKES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005262

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

DYKES

Business Name

STACEY A DYKES

Original Issue Date

08/20/2009

Effective Date

12/31/2021

Expiration Date

09/30/2023

City

GERMANTOWN HILL

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

02/02/2024