License holder summary

STACEY LEE BANTLEON is a Occupational Therapists - Occupational Therapist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 12/08/1995 and expired on 05/31/2000.

Department of Licensing and Regulatory Affairs

Board of Medicine

STACEY LEE BANTLEON
Occupational Therapists - Occupational Therapist
License number
5201003070
Date granted
12/08/1995
Date expires
05/31/2000
Class
Occupational Therapists - Occupational Therapist
Status
Lapsed
Address
michiganmedical.net
ID 39101812
LAST UPDATED 2024-04-15 11:26:14 UTC

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