JOHN FORREST NETTLES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004559

License Status

NOT RENEWED

Business

First Name

JOHN FORREST

Last Name

NETTLES

Business Name

JOHN FORREST NETTLES

Original Issue Date

10/14/1997

Effective Date

11/12/2013

Expiration Date

12/31/2015

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016