SANDRA KYLE LONERGAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005714

License Status

INACTIVE

Business

First Name

SANDRA

Middle

KYLE

Last Name

LONERGAN

Business Name

SANDRA KYLE LONERGAN

Original Issue Date

05/17/2000

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/10/2007