KRISTY MARIE GILLHAM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005114

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

MARIE

Last Name

GILLHAM

Business Name

KRISTY MARIE GILLHAM

Original Issue Date

11/12/1998

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/05/2020