STACY R KINGTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001381

License Status

NOT RENEWED

Business

First Name

STACY R

Last Name

KINGTON

Business Name

STACY R KINGTON

Original Issue Date

09/19/1996

Effective Date

01/16/2004

Expiration Date

12/31/2005

City

FAIRMOUNT

State

Zip

61841

County

VERMILION

Ever Disciplined

LastModifiedDate

02/16/2006