STACEY ELLEN BROWN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002243

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ELLEN

Last Name

BROWN

Business Name

STACEY ELLEN BROWN

Original Issue Date

09/20/2001

Effective Date

12/18/2015

Expiration Date

12/31/2017

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

04/10/2018