STEPHANIE A FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001147

License Status

NOT RENEWED

Business

First Name

STEPHANIE A

Last Name

FORD

Business Name

STEPHANIE A FORD

Original Issue Date

06/17/1995

Effective Date

12/03/2003

Expiration Date

12/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

02/16/2006