STACEY LEE GERHARDT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000901

License Status

NOT RENEWED

Business

First Name

STACEY LEE

Last Name

GERHARDT

Business Name

STACEY LEE GERHARDT

Original Issue Date

05/26/1993

Effective Date

01/17/2022

Expiration Date

12/31/2023

City

NIOTA

State

Zip

62358

County

HANCOCK

Ever Disciplined

LastModifiedDate

03/28/2024