ELIZABETH A SULLIVAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000200

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

SULLIVAN

Business Name

ELIZABETH A SULLIVAN

Original Issue Date

05/16/1984

Effective Date

12/08/2003

Expiration Date

12/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/16/2006