STACEY JO PAGOREK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014370

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

PAGOREK

Business Name

STACEY JO PAGOREK

Original Issue Date

03/23/2005

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

NORTHVILLE

State

Zip

48168

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/05/2018