AMANDA L GIBSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006623

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

GIBSON

Business Name

AMANDA L GIBSON

Original Issue Date

08/13/2002

Effective Date

11/13/2017

Expiration Date

12/31/2019

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/20/2018