SUSAN T PAYNE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001554

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PAYNE

Business Name

SUSAN T PAYNE

Original Issue Date

11/12/1997

Effective Date

12/31/2021

Expiration Date

12/31/2023

City

CHARLESTON

State

Zip

61920

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2024