STACY ELIZABETH WEST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005952

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ELIZABETH

Last Name

WEST

Business Name

STACY ELIZABETH WEST

Original Issue Date

11/01/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005