STACI K ISOM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003015

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

ISOM

Business Name

STACI K ISOM

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

09/30/1999

City

SULLIVAN

State

Zip

63080

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2005