Utah
Division of Occupational and Professional Licensing
STEPHANIE ANNE POLUKOFF
Occupational Therapy - Occupational Therapist
License number
4829530-4201
Date granted
10/27/2000
Date expires
05/31/2015
Class
Occupational Therapy - Occupational Therapist
Status
Active
Address
PARK CITY, UT 84098
utahlicensing.org
ID 29874978
LAST UPDATED 2026-03-27 22:26:23 UTC
LAST UPDATED 2026-03-27 22:26:23 UTC
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