NANCY JANE C PELLETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001327

License Status

NOT RENEWED

Business

First Name

NANCY JANE C

Last Name

PELLETT

Business Name

NANCY JANE C PELLETT

Original Issue Date

09/11/1996

Effective Date

12/08/2009

Expiration Date

12/31/2011

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/08/2012