STEPHANIE A WATSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001591

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

WATSON

Business Name

STEPHANIE A WATSON

Original Issue Date

11/20/1997

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/25/2005