DAVANON LEE FOX Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001208

License Status

NOT RENEWED

Business

First Name

DAVANON LEE

Last Name

FOX

Business Name

DAVANON LEE FOX

Original Issue Date

11/07/1995

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/05/2020