STACEY LEIGH FRONCZAK - Occupational Therapist License in Illinois | # 056004739

STACEY LEIGH FRONCZAK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004739

License Status

NOT RENEWED

Business

N

First Name

STACEY LEIGH

Last Name

FRONCZAK

Business Name

STACEY LEIGH FRONCZAK

Original Issue Date

01/26/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005