MICHAEL CHARLES CANTRELL - Occupational Therapist License in Illinois | # 056012893

MICHAEL CHARLES CANTRELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012893

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

CHARLES

Last Name

CANTRELL

Business Name

MICHAEL CHARLES CANTRELL

Original Issue Date

02/06/2019

Effective Date

02/06/2019

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020