STACEY MARIE YODER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015368

License Status

ACTIVE

Business

First Name

STACEY

Middle

MARIE

Last Name

YODER

Business Name

STACEY MARIE YODER

Original Issue Date

10/11/2006

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

07/03/2024