STACIE LYNN LUTER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010695

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

LYNN

Last Name

LUTER

Business Name

STACIE LYNN LUTER

Original Issue Date

08/26/2014

Effective Date

11/10/2015

Expiration Date

12/31/2017

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

04/10/2018