BARBARA J THAKE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000212

License Status

INACTIVE

Business

First Name

BARBARA J

Last Name

THAKE

Business Name

BARBARA J THAKE

Original Issue Date

05/16/1984

Effective Date

10/08/2009

Expiration Date

12/31/2011

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/05/2011