STACEY LYNN HENNESSY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009841

License Status

NOT RENEWED

Business

First Name

STACEY LYNN

Last Name

HENNESSY

Business Name

STACEY LYNN HENNESSY

Original Issue Date

12/04/1996

Effective Date

12/04/1996

Expiration Date

09/30/2000

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005