LAEL NATHANAEL JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011804

License Status

NOT RENEWED

Business

First Name

LAEL

Middle

NATHANAEL

Last Name

JOHNSON

Business Name

LAEL NATHANAEL JOHNSON

Original Issue Date

01/25/2017

Effective Date

12/09/2021

Expiration Date

12/31/2023

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2024