ELIIDA K LAKOTA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000166

License Status

NOT RENEWED

Business

First Name

ELIIDA K

Last Name

LAKOTA

Business Name

ELIIDA K LAKOTA

Original Issue Date

08/08/1984

Effective Date

12/19/2011

Expiration Date

12/31/2013

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

02/19/2014