CAMILLE MARGUERITE ROSE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005397

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

MARGUERITE

Last Name

ROSE

Business Name

CAMILLE MARGUERITE ROSE

Original Issue Date

05/17/1999

Effective Date

10/06/2025

Expiration Date

12/31/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/06/2025