ALICE M SMALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000147

License Status

NOT RENEWED

Business

First Name

ALICE M

Last Name

SMALL

Business Name

ALICE M SMALL

Original Issue Date

08/08/1984

Effective Date

11/02/2015

Expiration Date

12/31/2017

City

BENSON

State

Zip

61516

County

WOODFORD

Ever Disciplined

LastModifiedDate

04/10/2018