STACEY LYNN HOLT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005275

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

HOLT

Business Name

STACEY LYNN HOLT

Original Issue Date

09/01/2009

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

11/01/2017