MARTHA C BLOUGH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000494

License Status

NOT RENEWED

Business

First Name

MARTHA C

Last Name

BLOUGH

Business Name

MARTHA C BLOUGH

Original Issue Date

03/05/1988

Expiration Date

12/31/1989

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005