License holder summary

STACEY L BLACKWELL is a Physical And Occupational Therapy - Occupational Therapy Assistant licensed to practice in Iowa. The address on file for STACEY L BLACKWELL is 4614 NORTH SHORE DR. COUNCIL BLUFFS IA 51501. This licensed professional license is not current. The license was granted 01/28/1999 and expired on 01/15/2002.

Iowa

Professional Licensing Bureau

STACEY L BLACKWELL
Physical And Occupational Therapy - Occupational Therapy Assistant
License number
00543
Date granted
01/28/1999
Date expires
01/15/2002
Class
Physical And Occupational Therapy - Occupational Therapy Assistant
Status
Inactive
Address
4614 NORTH SHORE DR. COUNCIL BLUFFS IA 51501
iowalicenses.org
ID 24185308
LAST UPDATED 2024-02-13 15:06:02 UTC

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