STACEY ELIZABETH HANSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012092

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ELIZABETH

Last Name

HANSON

Business Name

STACEY ELIZABETH HANSON

Original Issue Date

09/06/2017

Effective Date

10/26/2017

Expiration Date

12/31/2019

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2020