TAMMY PHYLLIS HORN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001549

License Status

NOT RENEWED

Business

First Name

TAMMY PHYLLIS

Last Name

HORN

Business Name

TAMMY PHYLLIS HORN

Original Issue Date

11/12/1997

Effective Date

10/31/2019

Expiration Date

01/31/2022

City

GRAND CHAIN

State

Zip

62941

County

PULASKI

Ever Disciplined

LastModifiedDate

05/18/2022