CAITLIN AMBER SULLIVAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010900

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

AMBER

Last Name

SULLIVAN

Business Name

CAITLIN AMBER SULLIVAN

Original Issue Date

01/30/2015

Effective Date

12/18/2017

Expiration Date

12/31/2019

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

03/05/2020