BRENDA G MAILLOUX Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000524

License Status

NOT RENEWED

Business

First Name

BRENDA G

Last Name

MAILLOUX

Business Name

BRENDA G MAILLOUX

Original Issue Date

09/03/1988

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005