MELISSA MARIE HICKEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001711

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

HICKEY

Business Name

MELISSA MARIE HICKEY

Original Issue Date

03/09/1987

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

04/10/2018