STEPHANIE B HALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006261

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

HALL

Business Name

STEPHANIE B HALL

Original Issue Date

11/20/2012

Effective Date

08/09/2013

Expiration Date

09/30/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2015