MELISSA C AMBROSE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000618

License Status

NOT RENEWED

Business

First Name

MELISSA C

Last Name

AMBROSE

Business Name

MELISSA C AMBROSE

Original Issue Date

09/07/1989

Expiration Date

12/31/1991

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005