STACI MARIE ROTH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013526

License Status

ACTIVE

Business

First Name

STACI

Middle

MARIE

Last Name

ROTH

Business Name

STACI MARIE ROTH

Original Issue Date

03/09/2020

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

12/03/2025