JEAN M BROOM-LOCKHART Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001565

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

BROOM-LOCKHART

Business Name

JEAN M BROOM-LOCKHART

Original Issue Date

11/12/1997

Effective Date

12/27/2019

Expiration Date

01/31/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/18/2022