STACIE LEIGH WALTER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007155

License Status

ACTIVE

Business

First Name

STACIE

Middle

LEIGH

Last Name

WALTER

Business Name

STACIE LEIGH WALTER

Original Issue Date

04/09/2004

Effective Date

11/25/2025

Expiration Date

12/31/2027

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/25/2025