STACY R KINGTON - Occupational Therapist License in Illinois | # 057001381

STACY R KINGTON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001381

License Status

NOT RENEWED

Business

N

First Name

STACY R

Last Name

KINGTON

Business Name

STACY R KINGTON

Original Issue Date

09/19/1996

Effective Date

01/16/2004

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006