MARY ALICE KEITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000571

License Status

NOT RENEWED

Business

First Name

MARY ALICE

Last Name

KEITH

Business Name

MARY ALICE KEITH

Original Issue Date

06/19/1984

Effective Date

12/29/2021

Expiration Date

12/31/2023

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2024