EDMUND PHILIP COLRAVY - Occupational Therapist License in Illinois | # 057005313

EDMUND PHILIP COLRAVY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005313

License Status

NOT RENEWED

Business

N

First Name

EDMUND

Middle

PHILIP

Last Name

COLRAVY

Business Name

EDMUND PHILIP COLRAVY

Original Issue Date

10/22/2019

Effective Date

12/30/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026