MELODY A FAITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004846

License Status

NOT RENEWED

Business

First Name

MELODY

Middle

Last Name

FAITH

Business Name

MELODY A FAITH

Original Issue Date

05/06/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005