STACEY A NEVILLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006517

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

NEVILLE

Business Name

STACEY A NEVILLE

Original Issue Date

08/13/1991

Effective Date

08/13/1991

Expiration Date

09/30/1992

City

ST LOUIS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005