ANDREA LYNNE STALEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017718

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LYNNE

Last Name

STALEY

Business Name

ANDREA LYNNE STALEY

Original Issue Date

03/29/2010

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

DETROIT

State

Zip

48201

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018