NANCY L MARTIN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000039

License Status

INACTIVE

Business

First Name

NANCY L

Last Name

MARTIN

Business Name

NANCY L MARTIN

Original Issue Date

06/18/1984

Expiration Date

12/31/1989

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005