JAQUELYN BRIANNA BLISS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013347

License Status

NOT RENEWED

Business

First Name

JAQUELYN

Middle

BRIANNA

Last Name

BLISS

Business Name

JAQUELYN BRIANNA BLISS

Original Issue Date

10/24/2019

Effective Date

10/24/2019

Expiration Date

01/31/2022

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022