STACI L SMITH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005507

License Status

ACTIVE

Business

First Name

STACI

Middle

Last Name

SMITH

Business Name

STACI L SMITH

Original Issue Date

11/12/2020

Effective Date

12/09/2025

Expiration Date

12/31/2027

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

12/09/2025