JUSTIN CULLEY DAUGHERTY - Occupational Therapist License in Illinois | # 056007926

JUSTIN CULLEY DAUGHERTY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007926

License Status

NOT RENEWED

Business

N

First Name

JUSTIN

Middle

CULLEY

Last Name

DAUGHERTY

Business Name

JUSTIN CULLEY DAUGHERTY

Original Issue Date

10/24/2006

Effective Date

11/04/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016