ANTOINETTE D KING Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000212

License Status

NOT RENEWED

Business

First Name

ANTOINETTE D

Last Name

KING

Business Name

ANTOINETTE D KING

Original Issue Date

08/08/1984

Effective Date

05/16/2018

Expiration Date

12/31/2019

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

03/05/2020