STACY JACQUELYN BEAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010809

License Status

INACTIVE

Business

First Name

STACY

Middle

JACQUELYN

Last Name

BEAN

Business Name

STACY JACQUELYN BEAN

Original Issue Date

10/23/2014

Effective Date

11/18/2015

Expiration Date

12/31/2017

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

10/06/2017