STACEY A D'AQUILA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001896

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

D'AQUILA

Business Name

STACEY A D'AQUILA

Original Issue Date

04/22/1994

Effective Date

12/16/2021

Expiration Date

09/30/2023

City

GLENCOE

State

Zip

63038

Ever Disciplined

LastModifiedDate

02/02/2024