AUDREY JEANETTE FRAZIER - Occupational Therapist License in Illinois | # 057003590

AUDREY JEANETTE FRAZIER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003590

License Status

NOT RENEWED

Business

N

First Name

AUDREY

Middle

JEANETTE

Last Name

FRAZIER

Business Name

AUDREY JEANETTE FRAZIER

Original Issue Date

06/26/2012

Effective Date

12/30/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022