SAMANTHA KRISTINE RICHARDS - Occupational Therapist License in Illinois | # 057004661

SAMANTHA KRISTINE RICHARDS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004661

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

KRISTINE

Last Name

RICHARDS

Business Name

SAMANTHA KRISTINE RICHARDS

Original Issue Date

02/09/2017

Effective Date

12/10/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022