TIFFANY CRYSTAL STELLA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012174

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

CRYSTAL

Last Name

STELLA

Business Name

TIFFANY CRYSTAL STELLA

Original Issue Date

10/12/2017

Effective Date

11/30/2021

Expiration Date

12/31/2023

City

TRACY CITY

State

Zip

37387

Ever Disciplined

LastModifiedDate

03/28/2024