LACEY D MERRILL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007582

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

MERRILL

Business Name

LACEY D MERRILL

Original Issue Date

07/29/2016

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

09/21/2025