TUCKER A STEPHENS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008680

License Status

ACTIVE

Business

First Name

TUCKER

Middle

Last Name

STEPHENS

Business Name

TUCKER A STEPHENS

Original Issue Date

08/05/2019

Effective Date

07/31/2025

Expiration Date

09/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/31/2025