ANITA L BOOTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000778

License Status

NOT RENEWED

Business

First Name

ANITA L

Last Name

BOOTH

Business Name

ANITA L BOOTH

Original Issue Date

09/17/1991

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2010