STACEY L PRIDEMORE - Occupational Therapist License in Illinois | # 057002844

STACEY L PRIDEMORE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002844

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

L

Last Name

PRIDEMORE

Business Name

STACEY L PRIDEMORE

Original Issue Date

07/12/2007

Effective Date

12/06/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020