License holder summary

STACEY L GOODWIN is a Occupational Therapy Assistant licensed to practice in Pennsylvania. The address on file for STACEY L GOODWIN is Richeyville PA 15358. This licensed professional license is current. The license was granted 11/02/1999 and expired on 06/30/2015.

Pennsylvania

Department of State

STACEY L GOODWIN
Occupational Therapy Assistant
License number
OP003092L
Date granted
11/02/1999
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Active
Address
Richeyville PA 15358
palicensing.org
ID 16931011
LAST UPDATED 2024-03-28 21:45:09 UTC

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