STACEY L KRUEGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004904

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KRUEGER

Business Name

STACEY L KRUEGER

Original Issue Date

06/10/1998

Effective Date

05/18/2000

Expiration Date

12/31/1999

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

07/28/2005