MELANIE A EITENMILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000775

License Status

NOT RENEWED

Business

First Name

MELANIE A

Last Name

EITENMILLER

Business Name

MELANIE A EITENMILLER

Original Issue Date

09/11/1991

Effective Date

12/17/2015

Expiration Date

12/31/2017

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/10/2018