License holder summary

STACEY PAULINE GOODMAN is a Occupational Therapy Assistant licensed to practice in Indiana. The address on file for STACEY PAULINE GOODMAN is OSCEOLA IN 46561. This licensed professional license is current. The license was granted 11/24/1998 and expired on 12/31/2016.

Indiana

Professional Licensing Agency

STACEY PAULINE GOODMAN
Occupational Therapy Assistant
License number
32000767A
Date granted
11/24/1998
Date expires
12/31/2016
Class
Occupational Therapy Assistant
Status
Active
Address
OSCEOLA IN 46561
indianalicensing.org
ID 8276797
LAST UPDATED 2026-06-29 18:41:45 UTC

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