STACY LYNN OBERMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006854

License Status

INACTIVE

Business

First Name

STACY

Middle

LYNN

Last Name

OBERMAN

Business Name

STACY LYNN OBERMAN

Original Issue Date

04/29/2003

Effective Date

01/05/2004

Expiration Date

12/31/2005

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/25/2005