License holder summary

STACEY L MOORE is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for STACEY L MOORE is Dover PA 17315. This licensed professional license is not current. The license was granted 09/16/2004 and expired on 09/16/2005.

Pennsylvania

Department of State

STACEY L MOORE
Temporary Occupational Therapist
License number
TOC100911
Date granted
09/16/2004
Date expires
09/16/2005
Class
Temporary Occupational Therapist
Status
Voided
Address
Dover PA 17315
palicensing.org
ID 16936771
LAST UPDATED 2024-04-06 12:11:17 UTC

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