KELLEY M BODINE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003933

License Status

INACTIVE

Business

First Name

KELLEY M

Last Name

BODINE

Business Name

KELLEY M BODINE

Original Issue Date

02/14/1996

Expiration Date

12/31/1997

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005