MARY J ERICKSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003236

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

ERICKSON

Business Name

MARY J ERICKSON

Original Issue Date

09/13/1993

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022