STACEY WALLACE - Occupational Therapist License in Michigan | # 056015976

STACEY WALLACE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015976

License Status

NOT RENEWED

Business

N

First Name

STACEY

Last Name

WALLACE

Business Name

STACEY WALLACE

Original Issue Date

03/24/2024

Effective Date

03/24/2024

Expiration Date

12/31/2025

State

MI

Ever Disciplined

N

LastModifiedDate

04/01/2026