License holder summary

STACEY DAWN SOURWINE is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for STACEY DAWN SOURWINE is Aliquippa PA 15001. This licensed professional license is current. The license was granted 10/07/2002 and expired on 06/30/2015.

Pennsylvania

Department of State

STACEY DAWN SOURWINE
Occupational Therapist
License number
OC008758
Date granted
10/07/2002
Date expires
06/30/2015
Class
Occupational Therapist
Status
Active
Address
Aliquippa PA 15001
palicensing.org
ID 16928433
LAST UPDATED 2024-03-17 13:40:45 UTC

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