DEBRA L EVERLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003784

License Status

NOT RENEWED

Business

First Name

DEBRA L

Last Name

EVERLY

Business Name

DEBRA L EVERLY

Original Issue Date

09/16/1995

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/16/2006