STACY LYNN INGVALSON - Occupational Therapist License in Illinois | # 056010190

STACY LYNN INGVALSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010190

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

LYNN

Last Name

INGVALSON

Business Name

STACY LYNN INGVALSON

Original Issue Date

06/11/2013

Effective Date

11/20/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018