MOLLY J BEAVER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001091

License Status

INACTIVE

Business

First Name

MOLLY J

Last Name

BEAVER

Business Name

MOLLY J BEAVER

Original Issue Date

08/08/1984

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2009