STACEY RAE BRISCOE - Occupational Therapist License in Illinois | # 056007974

STACEY RAE BRISCOE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007974

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

RAE

Last Name

BRISCOE

Business Name

STACEY RAE BRISCOE

Original Issue Date

01/23/2007

Effective Date

12/12/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020