STEPHANIE N ROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006920

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

ROSE

Business Name

STEPHANIE N ROSE

Original Issue Date

08/26/2014

Effective Date

11/10/2021

Expiration Date

09/30/2023

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/02/2024