ELLEN MARIE WARNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001621

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

WARNER

Business Name

ELLEN MARIE WARNER

Original Issue Date

03/24/1998

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2020