STACEY LYNN DAVIS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003532

License Status

ACTIVE

Business

First Name

STACEY

Middle

LYNN

Last Name

DAVIS

Business Name

STACEY LYNN DAVIS

Original Issue Date

03/08/2012

Effective Date

12/26/2025

Expiration Date

12/31/2027

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

12/26/2025