MATTHEW J DELOST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004694

License Status

NOT RENEWED

Business

First Name

MATTHEW J

Last Name

DELOST

Business Name

MATTHEW J DELOST

Original Issue Date

12/02/1997

Effective Date

11/27/2019

Expiration Date

01/31/2022

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/18/2022