STACI RACHELLE MABRY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017804

License Status

INACTIVE

Business

First Name

STACI

Middle

RACHELLE

Last Name

MABRY

Business Name

STACI RACHELLE MABRY

Original Issue Date

06/16/2010

Effective Date

06/16/2010

Expiration Date

09/30/2010

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/08/2010