CHARLES RAYMOND JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001758

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

RAYMOND

Last Name

JOHNSON

Business Name

CHARLES RAYMOND JOHNSON

Original Issue Date

11/09/1998

Effective Date

12/04/2013

Expiration Date

12/31/2015

City

JOPPA

State

Zip

62953

County

MASSAC

Ever Disciplined

LastModifiedDate

02/08/2016