NATALIE LAUREN HANNABASS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013041

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

LAUREN

Last Name

HANNABASS

Business Name

NATALIE LAUREN HANNABASS

Original Issue Date

04/18/2019

Effective Date

04/18/2019

Expiration Date

12/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/05/2020