KERYL LYNN BLAYLOCK - Occupational Therapist License in Illinois | # 057004388

KERYL LYNN BLAYLOCK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004388

License Status

NOT RENEWED

Business

N

First Name

KERYL

Middle

LYNN

Last Name

BLAYLOCK

Business Name

KERYL LYNN BLAYLOCK

Original Issue Date

09/23/2015

Effective Date

12/15/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018