STACY ANN WHITEIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003230

License Status

NOT RENEWED

Business

First Name

STACY ANN

Last Name

WHITEIS

Business Name

STACY ANN WHITEIS

Original Issue Date

09/11/1993

Expiration Date

12/31/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005