MICHELLE E HEINZER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007756

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

HEINZER

Business Name

MICHELLE E HEINZER

Original Issue Date

04/27/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2010