DAVID C FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000521

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

FORD

Business Name

DAVID C FORD

Original Issue Date

09/03/1988

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

02/08/2016