AMY L BONTA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001374

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BONTA

Business Name

AMY L BONTA

Original Issue Date

09/11/1996

Effective Date

10/31/2019

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/18/2022