STACY ANN DESHAZIER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004672

License Status

ACTIVE

Business

First Name

STACY ANN

Last Name

DESHAZIER

Business Name

STACY ANN DESHAZIER

Original Issue Date

11/12/1997

Effective Date

12/04/2025

Expiration Date

12/31/2027

City

DUBUQUE

State

Zip

52002

Ever Disciplined

LastModifiedDate

12/04/2025