BEVERLY MILES WASHINGTON - Occupational Therapist License in Illinois | # 056001788

BEVERLY MILES WASHINGTON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001788

License Status

NOT RENEWED

Business

N

First Name

BEVERLY MILES

Last Name

WASHINGTON

Business Name

BEVERLY MILES WASHINGTON

Original Issue Date

08/15/1987

Effective Date

10/24/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

Y

LastModifiedDate

05/18/2022