BRANDON BOAN - Occupational Therapist License in Illinois | # 057003984

BRANDON BOAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003984

License Status

NOT RENEWED

Business

N

First Name

BRANDON

Last Name

BOAN

Business Name

BRANDON BOAN

Original Issue Date

02/19/2014

Effective Date

11/21/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022