STACIE LEE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006115

License Status

ACTIVE

Business

First Name

STACIE

Last Name

LEE

Business Name

STACIE LEE

Original Issue Date

08/13/2012

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2025

Case Number

2019006571

Action

Suspension

Discipline Start Date

09/20/2019

Discipline End Date

09/20/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/23/2019.