SYDNEY ELLEN STOCKDALE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000802

License Status

NOT RENEWED

Business

First Name

SYDNEY

Middle

ELLEN

Last Name

STOCKDALE

Business Name

SYDNEY ELLEN STOCKDALE

Original Issue Date

07/17/1984

Effective Date

11/28/2011

Expiration Date

12/31/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/19/2014