FRANCES E COUSIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001614

License Status

NOT RENEWED

Business

First Name

FRANCES E

Last Name

COUSIN

Business Name

FRANCES E COUSIN

Original Issue Date

09/24/1986

Effective Date

12/03/2019

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022