ANITA A BAUER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000051

License Status

NOT RENEWED

Business

First Name

ANITA A

Last Name

BAUER

Business Name

ANITA A BAUER

Original Issue Date

04/12/1984

Effective Date

10/06/2009

Expiration Date

12/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/08/2012