License holder summary

STACEY LYNN NORTHRUP is a Occupational Therapist & Assistant - Occupational Therapist licensed to practice in Michigan. The address on file for STACEY LYNN NORTHRUP is Spring Hill, TN 37174. This licensed professional license is current. The license was granted 01/16/2003 and expired on 05/31/2015.

Michigan

Department of Licensing and Regulation

STACEY LYNN NORTHRUP
Occupational Therapist & Assistant - Occupational Therapist
License number
5201006253
Date granted
01/16/2003
Date expires
05/31/2015
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Active
Address
Spring Hill, TN 37174
michiganlicensing.org
ID 25872140
LAST UPDATED 2024-04-20 00:30:51 UTC

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