STACY JACQUELYN BEAN - Occupational Therapist License in Illinois | # 056010809

STACY JACQUELYN BEAN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010809

License Status

INACTIVE

Business

N

First Name

STACY

Middle

JACQUELYN

Last Name

BEAN

Business Name

STACY JACQUELYN BEAN

Original Issue Date

10/23/2014

Effective Date

11/18/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

10/06/2017