KELLY L ANDERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007029

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

ANDERSON

Business Name

KELLY L ANDERSON

Original Issue Date

10/30/2003

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2010