CHARLES RAYMOND JOHNSON - Occupational Therapist License in Illinois | # 057001758

CHARLES RAYMOND JOHNSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001758

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

RAYMOND

Last Name

JOHNSON

Business Name

CHARLES RAYMOND JOHNSON

Original Issue Date

11/09/1998

Effective Date

12/04/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016