KEVIN J LACEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008138

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

LACEY

Business Name

KEVIN J LACEY

Original Issue Date

04/22/1994

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021