STACEY LEE PAUL - Occupational Therapist License in Illinois | # 057004294

STACEY LEE PAUL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004294

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

LEE

Last Name

PAUL

Business Name

STACEY LEE PAUL

Original Issue Date

06/24/2015

Effective Date

01/07/2022

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024