ANGELA J STAVIG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002819

License Status

NOT RENEWED

Business

First Name

ANGELA J

Last Name

STAVIG

Business Name

ANGELA J STAVIG

Original Issue Date

03/11/1992

Expiration Date

12/31/1995

City

BERWYN

State

Zip

60402

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

07/28/2005