STACI L BURKARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008022

License Status

ACTIVE

Business

First Name

STACI L

Last Name

BURKARD

Business Name

STACI L BURKARD

Original Issue Date

01/22/1994

Effective Date

08/25/2024

Expiration Date

09/30/2026

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/25/2024