BEVERLY E CANNON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000540

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

CANNON

Business Name

BEVERLY E CANNON

Original Issue Date

06/19/1984

Effective Date

02/29/2012

Expiration Date

12/31/2013

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/19/2014