STACEY LEA HENSON - Occupational Therapist License in Illinois | # 057002126

STACEY LEA HENSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002126

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

LEA

Last Name

HENSON

Business Name

STACEY LEA HENSON

Original Issue Date

11/01/2000

Effective Date

10/13/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012