SAMANTHA JANE CROW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011814

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

JANE

Last Name

CROW

Business Name

SAMANTHA JANE CROW

Original Issue Date

01/30/2017

Effective Date

12/03/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2022