CHARLENE KIMBROUGH SHIELDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004532

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

KIMBROUGH

Last Name

SHIELDS

Business Name

CHARLENE KIMBROUGH SHIELDS

Original Issue Date

08/11/1997

Effective Date

12/18/2015

Expiration Date

12/31/2017

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/10/2018