PETER T BLEEKER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003174

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

BLEEKER

Business Name

PETER T BLEEKER

Original Issue Date

09/08/1993

Effective Date

09/13/2016

Expiration Date

12/31/2017

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

04/10/2018