PEGGY LYNN DEBRUIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006067

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

LYNN

Last Name

DEBRUIN

Business Name

PEGGY LYNN DEBRUIN

Original Issue Date

05/03/2001

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/11/2005