ANGELA LABRIE BLACKWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004983

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

LABRIE

Last Name

BLACKWELL

Business Name

ANGELA LABRIE BLACKWELL

Original Issue Date

09/01/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005