SUSAN LYNN ZYLSTRA-HANSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012908

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LYNN

Last Name

ZYLSTRA-HANSEN

Business Name

SUSAN LYNN ZYLSTRA-HANSEN

Original Issue Date

02/19/2019

Effective Date

11/04/2019

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61826

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022