KRISTIN S STAFFORD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001121

License Status

NOT RENEWED

Business

First Name

KRISTIN S

Last Name

STAFFORD

Business Name

KRISTIN S STAFFORD

Original Issue Date

12/10/1991

Effective Date

12/10/1991

Expiration Date

09/30/1993

City

VINCENNES

State

Zip

47591

County

KNOX

Ever Disciplined

LastModifiedDate

10/14/2005