TAYLOR J STICHA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008592

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

STICHA

Business Name

TAYLOR J STICHA

Original Issue Date

06/05/2019

Effective Date

01/29/2022

Expiration Date

09/30/2023

City

CRESTWOOD

State

Zip

60418

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2024