STACY M SWAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004981

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

SWAN

Business Name

STACY M SWAN

Original Issue Date

06/18/2018

Effective Date

11/16/2025

Expiration Date

12/31/2027

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

11/16/2025