RANDALL JOHN AMMONDSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005495

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

JOHN

Last Name

AMMONDSON

Business Name

RANDALL JOHN AMMONDSON

Original Issue Date

09/28/1999

Effective Date

10/22/2013

Expiration Date

12/31/2015

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016