CAROL A WEIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000554

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

WEIS

Business Name

CAROL A WEIS

Original Issue Date

11/30/1988

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/31/2008