STACEY RAE BRISCOE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007974

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

RAE

Last Name

BRISCOE

Business Name

STACEY RAE BRISCOE

Original Issue Date

01/23/2007

Effective Date

12/12/2017

Expiration Date

12/31/2019

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

03/05/2020