BUFFY C JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001625

License Status

NOT RENEWED

Business

First Name

BUFFY

Middle

Last Name

JOHNSON

Business Name

BUFFY C JOHNSON

Original Issue Date

04/16/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

09/11/2005