DEEPIKA RAO MEDAVARAM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001007

License Status

NOT RENEWED

Business

First Name

DEEPIKA RAO

Last Name

MEDAVARAM

Business Name

DEEPIKA RAO MEDAVARAM

Original Issue Date

03/18/1994

Effective Date

10/12/2011

Expiration Date

12/31/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/19/2014