STEPHANIE P RUSSO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014625

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

RUSSO

Business Name

STEPHANIE P RUSSO

Original Issue Date

09/13/2005

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

HILLSBORO

State

Zip

63050

County

JEFFERSON

Ever Disciplined

LastModifiedDate

08/22/2024