MICHAEL C DAVIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004370

License Status

NOT RENEWED

Business

First Name

MICHAEL C

Last Name

DAVIS

Business Name

MICHAEL C DAVIS

Original Issue Date

04/29/1997

Effective Date

12/02/2003

Expiration Date

12/31/2005

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

02/16/2006