STACEY KATHERINE MANNING Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005214

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

KATHERINE

Last Name

MANNING

Business Name

STACEY KATHERINE MANNING

Original Issue Date

12/15/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/11/2005