STACI L LOPEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006968

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

LOPEZ

Business Name

STACI L LOPEZ

Original Issue Date

11/07/2014

Effective Date

12/01/2021

Expiration Date

09/30/2023

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/02/2024