STACEY E BRYANT Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002567

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

BRYANT

Business Name

STACEY E BRYANT

Original Issue Date

03/03/2005

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/06/2026