STACEY L STASKO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004854

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

STASKO

Business Name

STACEY L STASKO

Original Issue Date

05/06/1998

Effective Date

12/31/2021

Expiration Date

12/31/2023

City

CHESTERTON

State

Zip

46304

Ever Disciplined

LastModifiedDate

03/28/2024