BRIENNE NICOLE ROGERS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008415

License Status

NOT RENEWED

Business

First Name

BRIENNE

Middle

NICOLE

Last Name

ROGERS

Business Name

BRIENNE NICOLE ROGERS

Original Issue Date

08/11/2008

Effective Date

12/07/2009

Expiration Date

12/31/2011

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2012