STACI L NEAL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006144

License Status

INACTIVE

Business

First Name

STACI

Middle

Last Name

NEAL

Business Name

STACI L NEAL

Original Issue Date

08/14/2012

Effective Date

08/19/2013

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/06/2015