HOLLY MARIE KELLER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005381

License Status

INACTIVE

Business

First Name

HOLLY

Middle

MARIE

Last Name

KELLER

Business Name

HOLLY MARIE KELLER

Original Issue Date

05/17/1999

Effective Date

12/19/2019

Expiration Date

12/31/2021

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/21/2021