JANICE K HUMPHREY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000123

License Status

NOT RENEWED

Business

First Name

JANICE K

Last Name

HUMPHREY

Business Name

JANICE K HUMPHREY

Original Issue Date

08/08/1984

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005