SUSAN A BANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000705

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

BANE

Business Name

SUSAN A BANE

Original Issue Date

07/17/1984

Effective Date

12/29/2025

Expiration Date

12/31/2027

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/29/2025