STACEY L GAUVIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003941

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

GAUVIN

Business Name

STACEY L GAUVIN

Original Issue Date

03/07/1996

Expiration Date

12/31/1997

City

CHARLOTTE

State

Zip

28217

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

07/28/2005