STACY ANN HAATVEDT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010082

License Status

INACTIVE

Business

First Name

STACY

Middle

ANN

Last Name

HAATVEDT

Business Name

STACY ANN HAATVEDT

Original Issue Date

03/15/2013

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2019