WILLIAM L RUSSELL Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000849

License Status

INACTIVE

Business

First Name

WILLIAM L

Last Name

RUSSELL

Business Name

WILLIAM L RUSSELL

Original Issue Date

01/16/1993

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/10/2007