License holder summary

STACEY L ELLIS is a Occupational Therapy Assistant licensed to practice in Pennsylvania. The address on file for STACEY L ELLIS is Virginia Beach VA 23456. This licensed professional license is not current. The license was granted 01/12/2000 and expired on 06/30/2005.

Pennsylvania

Department of State

STACEY L ELLIS
Occupational Therapy Assistant
License number
OP003082L
Date granted
01/12/2000
Date expires
06/30/2005
Class
Occupational Therapy Assistant
Status
Expired
Address
Virginia Beach VA 23456
palicensing.org
ID 16931002
LAST UPDATED 2026-05-18 18:34:30 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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