STEPHANIE MARIE GRAVELLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015139

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

GRAVELLE

Business Name

STEPHANIE MARIE GRAVELLE

Original Issue Date

06/14/2006

Effective Date

08/25/2010

Expiration Date

09/30/2012

City

ESCANABA

State

Zip

49829

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/16/2013