STACY LYNN INGVALSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010190

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

INGVALSON

Business Name

STACY LYNN INGVALSON

Original Issue Date

06/11/2013

Effective Date

11/20/2015

Expiration Date

12/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/10/2018