LACEY R KRUEGER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007285

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

KRUEGER

Business Name

LACEY R KRUEGER

Original Issue Date

09/01/2015

Effective Date

09/09/2025

Expiration Date

09/30/2027

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/09/2025