CAMILLE J HAAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012081

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

Last Name

HAAS

Business Name

CAMILLE J HAAS

Original Issue Date

08/24/2017

Effective Date

12/22/2021

Expiration Date

12/31/2023

City

PEORIA HEIGHTS

State

Zip

61616

Ever Disciplined

LastModifiedDate

03/28/2024