DAVANON LEE FOX - Occupational Therapist License in Illinois | # 057001208

DAVANON LEE FOX

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001208

License Status

NOT RENEWED

Business

N

First Name

DAVANON LEE

Last Name

FOX

Business Name

DAVANON LEE FOX

Original Issue Date

11/07/1995

Effective Date

10/06/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020