LUCIE D BACON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010179

License Status

ACTIVE

Business

First Name

LUCIE

Middle

Last Name

BACON

Business Name

LUCIE D BACON

Original Issue Date

08/07/2024

Effective Date

07/22/2025

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/22/2025