STACEY LEE PAUL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004294

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LEE

Last Name

PAUL

Business Name

STACEY LEE PAUL

Original Issue Date

06/24/2015

Effective Date

01/07/2022

Expiration Date

12/31/2023

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/28/2024