LAUREN MATTALIANO RICKER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010213

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

MATTALIANO

Last Name

RICKER

Business Name

LAUREN MATTALIANO RICKER

Original Issue Date

07/09/2013

Effective Date

06/21/2016

Expiration Date

12/31/2017

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/10/2018