STACY A CHIDESTER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000641

License Status

INACTIVE

Business

First Name

STACY A

Last Name

CHIDESTER

Business Name

STACY A CHIDESTER

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

09/30/1997

City

OXFORD

State

Zip

45056

County

OHIO

Ever Disciplined

LastModifiedDate

10/14/2005