CAROL J BURNS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001203

License Status

INACTIVE

Business

First Name

CAROL J

Last Name

BURNS

Business Name

CAROL J BURNS

Original Issue Date

10/31/1984

Expiration Date

12/31/1987

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005