STACEY LEA HENSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002126

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LEA

Last Name

HENSON

Business Name

STACEY LEA HENSON

Original Issue Date

11/01/2000

Effective Date

10/13/2009

Expiration Date

12/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

02/08/2012