STACEY A COLLINS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018183

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

COLLINS

Business Name

STACEY A COLLINS

Original Issue Date

10/18/2010

Effective Date

09/04/2020

Expiration Date

09/30/2022

City

SAINT LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/28/2022