NANCY R GROVE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000081

License Status

NOT RENEWED

Business

First Name

NANCY R

Last Name

GROVE

Business Name

NANCY R GROVE

Original Issue Date

06/19/1984

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/16/2006