VIRGINIA M PETERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002636

License Status

NOT RENEWED

Business

First Name

VIRGINIA M

Last Name

PETERSON

Business Name

VIRGINIA M PETERSON

Original Issue Date

07/29/1991

Effective Date

12/17/2021

Expiration Date

12/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2024