DIANE LYNN SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002503

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LYNN

Last Name

SMITH

Business Name

DIANE LYNN SMITH

Original Issue Date

10/30/1990

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2010