STACY ANN BLIDER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002262

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANN

Last Name

BLIDER

Business Name

STACY ANN BLIDER

Original Issue Date

11/14/2001

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

HENDERSON

State

Zip

89052

County

CLARK

Ever Disciplined

LastModifiedDate

03/05/2020