BEVERLY J NUGEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000772

License Status

NOT RENEWED

Business

First Name

BEVERLY J

Last Name

NUGEN

Business Name

BEVERLY J NUGEN

Original Issue Date

09/11/1991

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005