STACEY LEIGH FRONCZAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004739

License Status

NOT RENEWED

Business

First Name

STACEY LEIGH

Last Name

FRONCZAK

Business Name

STACEY LEIGH FRONCZAK

Original Issue Date

01/26/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005